Abstract
This study utilized audiometry, and cervical vestibular-evoked myogenic potential (cVEMP), ocular VEMP (oVEMP) and caloric tests to investigate the sequence of vestibular deficits in patients with noise-induced hearing loss (NIHL). Thirty patients with NIHL underwent an inner ear test battery. Another 30 normal controls with age- and sex-matched were included for comparison. The abnormal percentages of the audiometry, and cVEMP, oVEMP and caloric tests were 100, 70, 57 and 33 % in NIHL patients, which showed significant differences from 13, 13, 7 and 3 % in normal controls, respectively. A significantly decreasing trend among the four tests, with the sequence of damage from the cochlea, followed by the saccule, utricle, and semicircular canals was noted in NIHL patients, but not in normal controls. In conclusion, the decreasing order of abnormal percentages in the function of the cochlea, saccule, utricle and semicircular canals after chronic noise exposure further supports that the pars inferior (cochlea and saccule) is more vulnerable to noise exposure than the pars superior (utricle and semicircular canals).
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References
Lim DJ (1986) Effects of noise and ototoxic drugs at the cellular level in the cochlea; a review. Am J Otolaryngol 7:73–99
Shupak A, Bar-El E, Podoshin L, Spitzer O, Gordon CR, Ben-David J (1994) Vestibular findings associated with chronic noise induced hearing impairment. Acta Otolaryngol 114:579–585
Halmagyi GM, Curthoys IS, Colebatch JG, Aw ST (2005) Vestibular responses to sound. Ann NY Acad Sci 1039:54–67
Bruno E, Napolitano B, Di Girolamo S, de Padova A, Alessandrini M (2007) Paroxysmal positional vertigo in skeet shooters and hunters. Eur Arch Otorhinolaryngol 264:381–383
Wang YP, Young YH (2007) Vestibular evoked myogenic potentials in chronic noise-induced hearing loss. Otolaryngol Head Neck Surg 137:607–611
Hsu WC, Wang JD, Lue JH, Day AS, Young YH (2008) Physiological and morphological assessment of the saccule in guinea pigs after noise exposure. Arch Otolaryngol Head Neck Surg 134:1099–1106
Rosengren SM, Todd NP, Colebatch JG (2005) Vestibular-evoked extraocular potentials produced by stimulation with bone-conducted sound. Clin Neurophysiol 116:1938–1948
Curthoys IS (2010) A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli. Clin Neurophysiol 121:132–144
Yang TH, Liu SH, Wang SJ, Young YH (2010) An animal model of ocular vestibular-evoked myogenic potential in guinea pig. Exp Brain Res 205:145–152
ACOEM Noise and Hearing Conservation Committee (2003) ACOEM evidence-based statement: noise-induced hearing loss. J Occup Environ Med 45(6):579–581
Welgampola MS, Rosengren SM, Halmagyi GM, Colebatch JG (2003) Vestibular activation by bone conducted sound. J Neurol Neurosurg Psychiatry 74:771–778
Su CH, Young YH (2011) Differentiating between cerebellar and brainstem lesions with ocular vestibular-evoked myogenic potential test. Eur Arch Otorhinolaryngol 268:923–930
Curthoys IS (2012) The interpretation of clinical tests of peripheral vestibular function. Laryngoscope 122:1342–1352
(1995) Committee on hearing and equilibrium guideline for the diagnosis and evaluation of therapy in Meniere’s disease. Otolaryngol Head Neck Surg 113(3):181–185
Kopke RD, Coleman JK, Liu J, Campbell KC, Riffenburgh RH (2002) Enhancing intrinsic cochlear stress defenses to reduce noise-induced hearing loss. Laryngoscope 112:1515–1532
Henderson D, Bielefeld EC, Harris KC, Hu BH (2006) The role of oxidative stress in noise-induced hearing loss. Ear Hear 27(1):1–19
McCabe BF, Lawrence M (1958) The effects of intense sound on the non-auditory labyrinth. Acta Otolaryngol 49:147–157
De Burlet HM (1920) Der perilymphatische Baum des Meerschweinchenohres. Anat Anz 53:302–315
Hara M, Kimura RS (1993) Morphology of the membrane limitans. Ann Otol Rhinol Laryngol 102:625–630
Rosenhall U (1973) Degenerative patterns in the aging human vestibular neuroepithelia. Acta Otolaryngol 76:208–220
Okuno T, Sando I (1987) Localization, frequency and severity of endolymphatic hydrops and the pathology of the labyrinthine membrane in Meniere’s disease. Ann Otol Rhinol Laryngol 96:438–445
Huang CH, Wang SJ, Young YH (2011) Localization and prevalence of hydrops formation in Meniere’s disease using a test battery. Audiol Neurotol 16:41–48
Kumagami H (1992) Endolymphatic hydrops induced by noise exposure. Auris Nasus Larynx 19:95–104
Schuknecht HF, Gulya AJ (1983) Endolymphatic hydrops: an overview and classification. Ann Otol Rhinol Laryngol 106(suppl):1–20
Shea JJ Jr, Ge X, Orchik DJ (1995) Traumatic endolymphatic hydrops. Am J Otol 16:235–240
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Grant no. NSC 99-2314-B002-049-MY3 from National Science Council, Taipei, Taiwan.
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Tseng, CC., Young, YH. Sequence of vestibular deficits in patients with noise-induced hearing loss. Eur Arch Otorhinolaryngol 270, 2021–2026 (2013). https://doi.org/10.1007/s00405-012-2270-6
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DOI: https://doi.org/10.1007/s00405-012-2270-6