Evidence map›Paper›PMID 39356356›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Assessment of hearing and balance functions in patients with acromegaly by the use of an audiovestibular test battery: a cross-sectional study.

Emel Tahir, Elif Kılıç Kan, Esra Kavaz Uştu, Asuman Küçüköner

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Emel TahirDepartment of Otolaryngology, School of Medicine, Ondokuz Mayıs University, Kurupelit Cove, Atakum, Samsun, Turkey. emeltahir@hotmail.com.ORCID http://orcid.org/0000-0002-5219-0542
Elif Kılıç KanDepartment of Endocrinology, School of Medicine, Ondokuz Mayıs University, Samsun, Turkey.ORCID http://orcid.org/0000-0002-9047-3121
Esra Kavaz UştuDepartment of Otolaryngology, School of Medicine, Ondokuz Mayıs University, Kurupelit Cove, Atakum, Samsun, Turkey.ORCID http://orcid.org/0000-0002-6297-6012
Asuman KüçükönerDepartment of Otolaryngology, School of Medicine, Ondokuz Mayıs University, Kurupelit Cove, Atakum, Samsun, Turkey.ORCID http://orcid.org/0000-0002-4369-727X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with acromegaly may have abnormalities in their hearing and balance as a result of modifications in body composition and involvement of the temporal bone. The objective of this study is to examine if there are any changes in the auditory and vestibular systems in individuals with acromegaly by using audiogram and vestibular function tests.

methodsThis prospective study included 33 healthy controls and 33 acromegaly patients who were matched for age and gender distribution. A pure-tone audiometry test was conducted, including frequencies ranging from 250 Hz to 8000 Hz. Videonystagmography (VNG) was employed to assess nystagmus, an essential parameter used for assessing vestibular functions. The Video Head Impulse Test (v-HIT) was used to assess the vestibulo-ocular reflex (VOR). The Dizziness Handicap Inventory (DHI) was applied to evaluate the subjective complaints of the participants.

resultsThe acromegaly patients had significantly elevated hearing thresholds at all frequencies (250, 500, 1000, 2000, 4000, and 6000 Hz) compared to the control group (p < 0.005). The VNG tests, including gaze horizontal, gaze vertical, saccade, spontaneous nystagmus, optokinetic, smooth pursuit, and positioning tests, did not show any statistically significant difference between the two groups (p values > 0.05). The patient group demonstrated reduced VOR gains compared to the control group in the anterior and posterior channels (p < 0.005). There was no statistically significant difference between the two groups for the occurrence of aberrant eye movements (p values > 0.05). The patient group had a total DHI score of 6.6 ± 3.2, while the control group had a score of 3.2 ± 2.6 (independent samples t-test; p < 0.001). Therefore, The patient group exhibited significantly greater subjective vestibular symptoms.

conclusionsPatients with acromegaly experience impaired auditory function. The central vestibular system remains unaffected, while the gains of the vestibulo-ocular reflex (VOR) in the posterior and anterior semicircular canals are decreased. Additionally, these patients report experiencing subjective dizziness. Screening for hearing and balance in patients with acromegaly may improve the quality of life of patients and prevent problems related to balance disorders at an early stage.

Indexed as

AcromegalyPostural BalanceAdultAudiometry, Pure-ToneCase-Control StudiesCross-Sectional StudiesFemaleHead Impulse TestHumansMaleMiddle AgedProspective StudiesReflex, Vestibulo-OcularVestibular Function TestsAcromegalyDizzinessHearingVertigoVestibular function tests

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.