The impact of vestibular symptoms and electronystagmography results on recovery from sudden sensorineural hearing loss
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Gaelle Vofo
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Marrigje Aagje de Jong
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.
Acknowledgement
We wish to acknowledge Ms. Ronit Brodie for her assistance in editing this manuscript.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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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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© 2021 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
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- Antimicrobials in COVID-19: strategies for treating a COVID-19 pandemic
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Artikel in diesem Heft
- Frontmatter
- Minireview
- Impact of mental toughness on athlete’s performance and interventions to improve
- Reviews
- A review of the mechanisms of anti-cancer activities of some medicinal plants–biochemical perspectives
- Antimicrobials in COVID-19: strategies for treating a COVID-19 pandemic
- Anxiolytic effects of vestibular stimulation: an update
- Original Articles
- Intermittent exposure to green and white light-at-night activates hepatic glycogenolytic and gluconeogenetic activities in male Wistar rats
- Study of pre-operative neutrophil–lymphocyte ratio in urothelial carcinoma
- The effects of Berberis vulgaris L. root extract on the opiate withdrawal syndrome and psychological factors: a randomized double-blind clinical trial
- Evidence of alterations in the learning and memory in offspring of stress-induced male rats
- The impact of vestibular symptoms and electronystagmography results on recovery from sudden sensorineural hearing loss
- Complementary mechanisms of modulation of spontaneous phasic contractions by the gaseous signalling molecules NO, H2S, HNO and the polysulfide Na2S3 in the rat colon
- Pharmacist-directed Sputnik V (GAM-COVID-VAC) surveillance program: a prospective observational study in Southern India
- Correlation among Poincare plot and traditional heart rate variability indices in adults with different risk levels of metabolic syndrome: a cross-sectional approach from Southern India
- Does etodolac affect TRPA1 functionality in vivo in human?
- Dynamic of irisin secretion change after moderate-intensity chronic physical exercise on obese female
- Letter to the Editor
- The prospective record-breaking obesity drug tirzepatide raises concerns about affordability
