Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-28T09:18:51.909Z Has data issue: false hasContentIssue false
  • English
  • Français

Sacculo-collic response in otosclerosis and following successful stapes surgery

Published online by Cambridge University Press:  12 March 2007

E Stapleton ,
R Mills  and
J C Tham
E Stapleton*
Affiliation:
Otolaryngology Unit, University of Edinburgh, Scotland, UK
R Mills
Affiliation:
Otolaryngology Unit, University of Edinburgh, Scotland, UK
J C Tham
Affiliation:
Otolaryngology Unit, University of Edinburgh, Scotland, UK
*
Address for correspondence: Ms Emma Stapleton, Department of Otolaryngology, Lauriston Building, Edinburgh EH3 9HA, Scotland, UK. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

The sacculo-collic reflex is believed to be a short latency, otolith-mediated myogenic response to sound. With the application of air-conducted sound, one would expect an absent response in stapes fixation, as a fixed stapes footplate will not transmit a pressure wave to the saccule.

Methods:

Fifty patients (70 stapes surgery ears, 26 otosclerotic ears and four normal ears) and 40 controls underwent repeated sacculo-collic tests.

Results:

The results support the proposed mechanism for the sacculo-collic response. The study also suggests that, whilst stapedotomy piston prostheses are effective in the reversal of conductive hearing loss, they produce an insufficient pressure wave to elicit a myogenic response to sound.

Conclusion:

The sacculo-collic test could be a useful tool for screening otolith function and inferior vestibular nerve integrity, but further work is needed to determine the effect of stapes surgery on saccular function.

Keywords

Otolithic MembraneSaccule And UtricleEvoked PotentialsOtosclerosisStapes Surgery
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 4 , April 2008 , pp. 347 - 350
Copyright
Copyright © JLO (1984) Limited 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Colebatch, JG, Halmagyi, GM, Skuse, NF. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry 1994;57:190–7CrossRefGoogle ScholarPubMed
2 Wilson, VJ, Boyle, R. The vestibulocollic reflex. J Vest Res 1995;5:147–70CrossRefGoogle ScholarPubMed
3 Murofushi, T, Halmagyi, GM, Yavor, RA, Colebatch, JG. Absent vestibular evoked myogenic potentials in vestibular neurolabyrinthitis. An indicator of inferior vestibular nerve involvement? Arch Otolaryngol Head Neck Surg 1996;122:845–9CrossRefGoogle ScholarPubMed
4 Uchino, Y, Sato, H. Sacculocolic reflex arcs in cats. J Neurophysiol 1997;77:3003–12CrossRefGoogle Scholar
5 Kushiro, K, Zakir, M. Saccular and utricular inputs to single vestibular neurons in cats. Exp Brain Res 2000;131:406–15CrossRefGoogle ScholarPubMed
6 Li, MW, Houlden, D, Tomlinson, RD. Click evoked EMG responses in sternocleidomastoid muscles: characteristics in normal subjects. J Vest Res 1999;9:327–34CrossRefGoogle ScholarPubMed
7 Bickford, RG, Jacobson, JL, Cody, DTR. Nature of average evoked potentials to sound and other stimuli in man. Ann N Y Acad Sci 1964;112:204–18CrossRefGoogle ScholarPubMed
8 Townsend, GL, Cody, DTR. The averaged inion response evoked by acoustic stimulation: its relation to the saccule. Ann Otol Rhinol Laryngol 1971;80:121–31CrossRefGoogle Scholar
9 Halmagyi, GM, Colebatch, JG. Vestibular evoked myogenic potentials in the sternomastoid muscle are not of lateral canal origin. Acta Otolaryngol Suppl 1995;520:1–3CrossRefGoogle Scholar
10 Murofushi, T, Matsuzaki, M, Mizuno, M. Vestibular evoked myogenic potentials in patients with acoustic neuromas. Arch Otolaryngol Head Neck Surg 1998;124:509–12CrossRefGoogle ScholarPubMed
11 Komatsuzaki, A, Tsunoda, A. Nerve origin of the acoustic neuroma. J Laryngol Otol 2001;115:376–9CrossRefGoogle ScholarPubMed
12 McCue, MP, Guinan, JJ Jr. Sound-evoked activity in primary afferent neurons of a mammalian vestibular system. Am J Otol 1997;18:335–60Google ScholarPubMed
13 Todd, NP, Cody, FWJ, Banks, JR. A saccular origin of frequency tuning in myogenic vestibular evoked potentials? Implications for human responses to loud sounds. Hear Res 2000;141:180–8CrossRefGoogle ScholarPubMed
14 Popper, A, Platt, C, Saidal, W. Acoustic functions in the fish ear. Trends Neurosci 1982;5:276–80CrossRefGoogle Scholar
15 Welgampola, MS, Rosengren, SM, Halmagyi, GM, Colebatch, JG. Vestibular activation by bone conducted sound. J Neurol Neurosurg Psychiatry 2003;74:771–8CrossRefGoogle ScholarPubMed