ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
Optimal Assessment of Vestibular Function for Predicting Clinical Outcomes in Patients Diagnosed with Sudden Deafness.
Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ImportanceSudden sensorineural hearing loss (SSNHL) is often accompanied by vestibular dysfunction, yet the relationship between patterns of peripheral vestibular organ involvement and hearing prognosis requires systematic evaluation. Clarifying this association is essential for guiding clinical assessment and prognosis.ObjectiveTo explore the prognostic value of vestibular function tests in patients with SSNHL by assessing the functional status of peripheral vestibular receptors.DesignRetrospective cohort study.SettingInpatient departments of Jiaxing Second Hospital and the Hospital of the China Coast Guard (September 2020 to September 2021).ParticipantsA total of 76 inpatients with unilateral SSNHL were enrolled and divided into a vertigo group (n = 29) and a non-vertigo group (n = 47).Exposures or InterventionsAll patients underwent pure-tone audiometry (PTA), cervical vestibular-evoked myogenic potentials (cVEMP), ocular VEMP (oVEMP), video head impulse test, and caloric testing to assess peripheral vestibular involvement.Main Outcome MeasuresHearing recovery, defined by improvement in PTA thresholds.ResultsPatients with vertigo had significantly-worse baseline PTA thresholds compared with those without vertigo [67.91 ± 31.67 degrees of hearing loss (dBHL) vs 54.98 ± 29.03 dBHL,
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