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Indian Journal of Otolaryngology and Head & Neck Surgery

Erschienen in:

04.11.2022 | Original Article

Comprehensive vestibular evaluation in patients with Otosclerosis: a case control study

verfasst von: Mohsen Rajati, Sadegh Jafarzadeh, Raziyeh Javadzadeh, Mahboobeh Feiz Disfani, Razieh Yousefi

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 4/2022

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Abstract

Aim

Otosclerosis is one of the common otologic diseases. The mechanism and the probable site of vestibular involvement are not yet fully understood. The present study aimed to perform a comprehensive vestibular evaluation in patients with otosclerosis, compared to the cases without otosclerosis.

Materials and methods

patients underwent a comprehensive cochleovestibular evaluation, including audiometry, ocular and cervical vestibular evoked myogenic potential (o-VEMP and c-VEMP), video head impulse (vHIT) and caloric tests. The results were compared with those obtained from the non-otosclerosis control group.

Results

A total of 61 individuals were included in the study who were divided into two groups of the case (50.82%) and control (49.18%). The results showed that there was a significant difference in the mean vHIT gain between the case and control groups (P < 0.05). However, the mean gain was still within the normal range. Besides, the patients with otosclerosis had significant bilateral or unilateral weaknesses according to caloric test results. Moreover, their o-VEMP and c-VEMP results were significantly abnormal as well (P < 0.05).

Conclusion

Based on the results of the present study, the vestibular system even in asymptomatic cases, is affected by otosclerosis. Furthermore, it seems that the otolithic system has a higher chance of involvement, compared to the semicircular canals.

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Titel: Comprehensive vestibular evaluation in patients with Otosclerosis: a case control study
verfasst von: Mohsen Rajati
Sadegh Jafarzadeh
Raziyeh Javadzadeh
Mahboobeh Feiz Disfani
Razieh Yousefi
Publikationsdatum: 04.11.2022
Verlag: Springer India
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 4/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-022-03147-5

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Comprehensive vestibular evaluation in patients with Otosclerosis: a case control study

Abstract