Wideband tympanometry in ears with superior canal dehiscence before and after surgical correction
| Autor: | Aleksandr Velikoselskii, Luca Verrecchia, Henrik Smeds, Georgios Papatziamos |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Linguistics and Language
medicine.medical_specialty Vestibular evoked myogenic potential Ear Middle Audiology Vibration Language and Linguistics Speech and Hearing Symptom relief otorhinolaryngologic diseases medicine Humans Superior canal dehiscence medicine.diagnostic_test business.industry Middle frequency Tympanometry Surgical correction medicine.disease Vestibular Evoked Myogenic Potentials medicine.anatomical_structure Acoustic Impedance Tests Middle ear Audiometry Pure-Tone sense organs Audiometry business |
| Zdroj: | International Journal of Audiology. 61:692-697 |
| ISSN: | 1708-8186 1499-2027 |
| DOI: | 10.1080/14992027.2021.1964041 |
| Popis: | Objectives Wideband tympanometry (WBT) has been shown to be sensitive to mechanical changes in the ear. This study investigated the effect of surgical correction of superior canal dehiscence (SCD) on WBT (i.e. absorbance and middle ear resonance frequency) compared to those on common surgical outcomes such as symptom resolution, vestibular evoked myogenic potentials (VEMP), and hearing thresholds. Study sample and study design Seven patients (eight ears with SCD) who underwent surgical correction of SCD underwent WBT in addition to pure-tone audiometry and VEMP assessment. Results Postoperatively, all ears showed normalised/decreased absorbance at low frequencies and slightly enhanced absorbance in the middle frequency range (7/8 ears). The middle ear resonance frequency, which was initially lower than normal in most patients, increased in 6/8 operated ears, and decreased in two ears with no/partial symptom relief. In comparison, complete symptom control was observed in 6/8 operated ears, VEMP amplitudes reduced or normalised in all ears, and hearing thresholds remained stable or improved in 6/8 ears and worsened in two ears. Conclusions Surgery seems to change the response to WBT in patients with SCD. The results of WBT may represent mechanical changes induced by SCD, and should be considered when evaluating surgical outcomes. |
| Databáze: | OpenAIRE |
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