Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (5): 27-32.doi: 10.6040/j.issn.1673-3770.1.2020.063

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Clinical value of vestibular evoked myogenic potential to predict prognosis of unilateral idiopathic sudden sensorineural hearing loss

  

  • Received:2020-07-03 Published:2020-11-17

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Abstract: Objective To analyze the clinical outcomes of patients with unilateral idiopathic sudden sensorineural hearing loss(SSNHL)and explore the relationship between vestibular function and prognosis in patients with SSNHL. Methods A retrospective analysis of 59 patients(59 ears)with SSNHL was performed. A total of 183 vestibular function tests were performed in all patients to assess the influence of vestibular functions on the clinical outcome of SSNHL. Results Treatments were less effective in patients with abnormalities in ocular vestibular evoked myogenic potential(oVEMP)or cervical vestibular evoked myogenic potential(cVEMP). Those with normal oVEMP and cVEMP had relatively better hearing recovery. The outcomes of the caloric test or video head impulse test showed no association with the efficacy of treatment or hearing recovery in patients with SSNHL. Treatment was less effective in patients with abnormalities in both oVEMP and cVEMP, who also had worse hearing recovery than those who had an abnormal finding in only one of the two tests. Conclusions Patients with abnormal oVEMP or cVEMP results had poor clinical outcomes, while those with normal oVEMP and cVEMP demonstrated better hearing recovery with treatment. Thus, oVEMP and cVEMP could be effective indices to predict the prognosis of patients with SSNHL. An abnormal vestibular function is a definite indicator of a wider and more severe pathological change in the inner ear of patients with SSNHL.

Key words: Idiopathic sudden sensorineural hearing loss, Vestibular function, Vestibular evoked myogenic potential, Caloric test, Video head impulse test

CLC Number: 

  • R764.43
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