Startseite The impact of vestibular symptoms and electronystagmography results on recovery from sudden sensorineural hearing loss
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The impact of vestibular symptoms and electronystagmography results on recovery from sudden sensorineural hearing loss

  • Gaelle Vofo ORCID logo EMAIL logo , Marrigje Aagje de Jong , Michal Kaufman , Julia Meyler , Ron Eliashar und Menachem Gross
Veröffentlicht/Copyright: 20. Juli 2021

Abstract

Objectives

Idiopathic sudden sensorineural hearing loss (SSNHL) represents a frequently encountered otological entity, of various types and severity, with an array of associated symptoms including vertigo. This is a devastating life-changing condition with a blurry prognosis. The objective of this study was to determine the clinical association of vestibular impairment by electronystagmography (ENG) and caloric tests, and their ability to predict prognosis.

Methods

An observational, crossectional study was carried out amongst patients admitted with SSNHL. Each consenting patient had an audiometry test performed on admission as well as ENG and caloric tests. Treatment included oral steroids and carbogen with intratympanic steroids used only as salvage treatment. Follow-up was completed after 6 months when hearing gains were evaluated. Finally, an association was sought between the rate of recovery and ENG and caloric test results.

Results

Of 35 patients included, marked recovery was seen in patients without vertigo when compared to those with vertigo (p=0.003). A statistically significant association was found between the presence of vertigo and hearing deterioration (p=0.008). More so, normal electronystagmography results were associated with marked recovery (p=0.04).

Conclusions

The vestibular end organs are both subjectively and objectively affected in SSNHL as demonstrated by the abnormal ENG and caloric tests in our study despite the small sample size. Concomitant vestibular involvement carries poorer prognosis and routine identification may help foresee the recovery of patients with SSNHL and as such, aid in patient counseling. ENG and caloric tests are easily available and may be recommended for all patients with SSNHL.


Corresponding author: Gaelle Vofo, MD, Department of Otolaryngology-Head & Neck Surgery, Hadassah Hebrew-University Medical Centre Jerusalem, Jerusalem 91120, Israel, Phone: +972 2 6776469, Fax: +972 2 6468800, E-mail:

Acknowledgement

We wish to acknowledge Ms. Ronit Brodie for her assistance in editing this manuscript.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The research related to human use has complied with all the relevant national regulations, institutional policies, and in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors' Institutional Review Board (Institutional Review Board of the Hadassah Medical Organization) (HMO-09-0106).

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Received: 2020-10-23
Accepted: 2021-07-04
Published Online: 2021-07-20

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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