Evaluation of Vestibular Function in Patients with Chronic Suppurative Otitis Media
| Autor: | Aly M.N. El Makhzangy, Amr G. Shafik, Badr Eldin Mostafa, Hesham Taha, Heba Mahmoud Abdel Mageed |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Tympanic Membrane Adolescent Hearing loss Hearing Loss Sensorineural Vestibular evoked myogenic potential Chronic Suppurative Otitis Media Otitis Media Suppurative Young Adult otorhinolaryngologic diseases medicine Humans Videonystagmography Prospective Studies Saccule and Utricle Child Aged Vestibular system Cholesteatoma Middle Ear medicine.diagnostic_test business.industry Cholesteatoma Middle Aged Vestibular Function Tests medicine.disease Vestibular Evoked Myogenic Potentials Semicircular Canals Surgery Otorhinolaryngology Chronic Disease Audiometry Pure-Tone Female Sensorineural hearing loss Vestibule Labyrinth sense organs Audiometry medicine.symptom business |
| Zdroj: | ORL. 75:357-360 |
| ISSN: | 1423-0275 0301-1569 |
| DOI: | 10.1159/000357475 |
| Popis: | Objective: The objective of this study was to assess vestibular functions in patients with chronic suppurative otitis media (CSOM) with and without sensorineural hearing loss. Study Design: This was a prospective case study performed at a tertiary referral university hospital. Sixty patients with CSOM were included, and patients with a history of head trauma, diabetes, hypertension, previous ear surgery, use of ototoxic drugs, neurological deficits and suspected fistulae were excluded. Patients and Methods: The patients underwent basic audiological evaluation, and clinical and instrumental vestibular evaluation. The incidence and extent of vestibular dysfunction in patients with CSOM were analyzed. Results: A total of 42 males and 16 females with a mean age of 29.5 years were included in this study. Forty ears had tubotympanic disease and 19 had cholesteatoma. There were 14 ears with sensorineural hearing loss. A positive history of vertigo was reported in 53.5% of the cases. Rotatory chair abnormalities were found in 70% of the cases, caloric hypofunction was found in 61.6%, and vestibular myogenic evoked potentials were abnormal in 25%. The only positive correlation with vestibular dysfunction was the duration of disease. Conclusions: The vestibular system is significantly affected in cases with CSOM. Both semicircular canals and the saccule are affected. All patients with long-standing CSOM should be evaluated for vestibular dysfunction irrespective of their hearing levels. |
| Databáze: | OpenAIRE |
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