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Original Article

The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss

Xiaorong NiuDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Yan ZhangDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Qing ZhangDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Xinda XuDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China; ;Department of Otology and Skull Base Surgery, EYE And ENT Hospital of Fudan University, Shanghai, PR China;

Peng HanDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Ying ChengDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Ying GaoDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Rui ZhangDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China; ;Department of Otolaryngology, Xi’an Children’s Hospital, Xi'an, PR China;

Yintong YangDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China; ;Department of Otolaryngology, Xi’an Fourth People’s Hospital, Xi'an, PR China

Zichen ChenDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Juan HuDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Yanfei ChenDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China;

Min XuDepartment of Otorhinolaryngology Head and Neck Surgery, Ear Institute, Second Affiliated Hospital, Xi’an Jiaotong University College of Medicine, Xi’an, PR China; Correspondence[email protected] [email protected]

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Abstract

Objective: To investigate the relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss (SSHL).

Methods: Clinical data including the symptom of vertigo of 149 SSHL patients were investigated retrospectively. Pure tone audiometry, ocular vestibular-evoked myogenic potential (oVEMP) and cervical vestibular-evoked myogenic potential (cVEMP) evoked by air-conducted sound (ACS), and caloric test were employed for cochlear and vestibular function assessment. The relationship between hearing level and vestibular dysfunction was analyzed.

Results: The pure tone averages (PTAs) (mean ± SD) of SSHL patients with and without vertigo were 88.81 ± 21.74 dB HL and 72.49 ± 21.88 dB HL (Z = −4.411, p = 0.000), respectively. The PTAs of SSHL patients with abnormal and normal caloric test were 84.71 ± 22.54 dB HL and 70.41 ± 24.07 dB HL (t = −2.665, p = 0.009), respectively. Conversely, vertigo and abnormal caloric results also happened more frequently in patients with profound hearing loss. However, no consistent tendency could be found among vestibular evoked myogenic potentials (VEMPs) responses or hearing loss.

Conclusions: SSHL patients with vertigo or abnormal caloric test displayed worse hearing loss; and vice versa, vertigo and abnormal caloric results happened more frequently in SSHL patients with profound hearing loss.

Keywords:

Acknowledgments

This study was supported by the National Natural Science Foundation of China, China (No. 30973300 and No. 81541040), Fundamental Research Funds for the Central Universities, China (No. 2012jdhz13), Shaanxi Major International Cooperative Project, China (No. 2013KW-28), and Key Science and Technology Program of Xi’an, China (No. SF1315 (1)).

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss

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The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss

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