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

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

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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Acknowledgements

This study was supported by deputy of research, Mashhad University of medical sciences.

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Authors and Affiliations

  1. Sinus and Surgical Endoscopic Research Center, Department of Otorhinolaryngology, School of Medicine, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

    Mohsen Rajati

  2. Department of Audiology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran

    Sadegh Jafarzadeh

  3. Department of Otorhinolaryngology, School of Medicine, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

    Raziyeh Javadzadeh

  4. Resident of otolaryngology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

    Mahboobeh Feiz Disfani

  5. Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

    Razieh Yousefi

  6. Department of Audiology, School of Paramedical Sciences, campus of Mashhad, University of Medical Sciences, park square, Mashhad, Iran

    Sadegh Jafarzadeh

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  1. Mohsen Rajati
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Correspondence to Sadegh Jafarzadeh.

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Rajati, M., Jafarzadeh, S., Javadzadeh, R. et al. Comprehensive vestibular evaluation in patients with Otosclerosis: a case control study. Indian J Otolaryngol Head Neck Surg 74, 582–587 (2022). https://doi.org/10.1007/s12070-022-03147-5

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