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Effects of otosclerosis and stapedotomy on vestibular-evoked myogenic potentials

Published online by Cambridge University Press:  11 October 2021

B Satar
Affiliation:
Department of Otorhinolaryngology, Gülhane Faculty of Medicine, University of Health Sciences Turkey, Ankara, Turkey
C Karaçaylı*
Affiliation:
Department of Audiology, Gülhane Faculty of Health Sciences, University of Health Sciences Turkey, Ankara, Turkey
V K Çoban
Affiliation:
Department of Otorhinolaryngology, Gülhane Training and Research Hospital, Ankara, Turkey
S Özdemir
Affiliation:
Department of Otorhinolaryngology, Gülhane Training and Research Hospital, Ankara, Turkey
*
Author for correspondence: Dr Ceren Karaçaylı, Department of Audiology, Sağlık Bilimleri University, Gülhane Faculty of Health Science, Ankara, Turkey E-mail: [email protected]

Abstract

Objective

Limited data are available on the effects of otosclerosis and otosclerosis surgery on the utricle and saccule. This study aimed to determine the effect of otosclerosis and stapedotomy on vestibular-evoked myogenic potentials.

Methods

This retrospective study included 16 otosclerosis patients and 18 controls. Thirty-two ears of 16 patients with otosclerosis were divided into 2 groups based on whether the ear had been operated on or not. All patients and subjects underwent 500 Hz air- and bone-conducted ocular and cervical vestibular-evoked myogenic potentials testing.

Results

Overall comparison of response rates showed a significant difference among the groups. Further statistical tests showed that this difference arose from differences between both operated and unoperated groups and the control group, for air-conducted cervical and ocular vestibular-evoked myogenic potentials.

Conclusion

Otosclerosis and stapedotomy may affect the elicitability of vestibular-evoked myogenic potentials. Otosclerosis is associated with lower response rates for air-conducted ocular and cervical vestibular-evoked myogenic potentials, regardless of whether operated on. Having been operated on does not significantly increase the response rate of air-conducted vestibular-evoked myogenic potentials.

Type
Main Articles
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr C Karaçaylı takes responsibility for the integrity of the content of the paper

Preliminary results of this study were presented orally at the 4th Vertigo Academy İnternational, 25–27 April 2019, Minsk, Belarus.

References

Saka, N, Seo, T, Fujimori, K, Mishiro, Y, Sakagami, M. Vestibular-evoked myogenic potential in response to bone-conducted sound in patients with otosclerosis. Acta Otolaryngol 2012;132:1155–9CrossRefGoogle ScholarPubMed
Derks, W, De Groot, JA, Raymakers, JA, Veldman, JE. Fluoride therapy for cochlear otosclerosis? An audiometric and computerized tomography evaluation. Acta Otolaryngol 2001;121:174–7Google ScholarPubMed
Amali, A, Mahdi, P, Karimi Yazdi, A, Khorsandi Ashtiyani, MT, Yazdani, N, Vakili, V et al. Saccular function in otosclerosis patients: bone conducted-vestibular evoked myogenic potential analysis. Acta Med Iran 2014;52:111–15Google ScholarPubMed
Akazawa, K, Ohta, S, Tsuzuki, K, Sakagami, M. Bone-conducted vestibular-evoked myogenic potentials before and after stapes surgery. Otol Neurotol 2018;39:611CrossRefGoogle ScholarPubMed
Mukherjee, P, Uzun-Coruhlu, H, Curthoys, IS, Jones, AS, Bradshaw, AP, Pohl, DV. Three-dimensional analysis of the vestibular end organs in relation to the stapes footplate and piston placement. Otol Neurotol 2011;32:367–72CrossRefGoogle ScholarPubMed
Colebatch, JG, Halmagyi, GM. Vestibular evoked potentials in human neck muscles before and after unilateral vestibular deafferentation. Neurology 1992;42:1635–6CrossRefGoogle ScholarPubMed
Colebatch, JG, Halmagyi, GM, Skuse, NF. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry 1994;57:190–7CrossRefGoogle ScholarPubMed
Brantberg, K. Vestibular evoked myogenic potentials (VEMPs): usefulness in clinical neurotology. Semin Neurol 2009;29:541–7CrossRefGoogle ScholarPubMed
Felipe, L, Kingma, H. Ocular vestibular evoked myogenic potentials. Int Arch Otorhinolaryngol 2014;18:77–9Google ScholarPubMed
Ogawa, Y, Otsuka, K, Inagaki, T, Nagai, N, Itani, S, Kondo, T et al. Comparison of cervical vestibular evoked potentials evoked by air-conducted sound and bone-conducted vibration in vestibular schwannoma patients. Acta Otolaryngol 2018;138:898903CrossRefGoogle ScholarPubMed
Yang, TL, Young, HY. Vestibular-evoked myogenic potentials in patients with otosclerosis using air and bone conducted tone-burst stimulation. Otol Neurotol 2007;28:16CrossRefGoogle ScholarPubMed
Birch, L, Elbrønd, O. Stapedectomy and vertigo. Clin Otolaryngol Allied Sci 1985;10:217–23CrossRefGoogle ScholarPubMed
Koizuka, I, Sakagami, M, Doi, K, Takeda, N, Matsunaga, T. Nystagmus measured by ENG after stapes surgery. Acta Otolaryngol Suppl 1995;520(Pt 2):258–9CrossRefGoogle ScholarPubMed
Pauw, BK, Pollak, AM, Fisch, U. Utricle, saccule, and cochlear duct in relation to stapedotomy. A histologic human temporal bone study. Ann Otol Rhinol Laryngol 1991;100:966–70CrossRefGoogle ScholarPubMed
Singbartl, F, Basta, D, Seidl, RO, Ernst, A, Todt, I. Perioperative recordings of vestibular-evoked myogenic potentials in otosclerosis. Otol Neurotol 2006;27:1070–3CrossRefGoogle ScholarPubMed
Trivelli, M, D'Ascanio, L, Pappacena, M, Greco, F, Salvinelli, F. Air- and bone-conducted vestibular evoked myogenic potentials (VEMPs) in otosclerosis: recordings before and after stapes surgery. Acta Otorhinolaryngol Ital 2010;30:510Google ScholarPubMed
Winters, SM, Klis, SF, Kool, AC, Kraaijenga, SA, Tange, RA, Grolman, W. Perioperative bone-conducted ocular vestibular-evoked myogenic potentials in otosclerosis patients. Otol Neurotol 2013;34:1109–14CrossRefGoogle ScholarPubMed
Catalano, N, Cammaroto, G, Galletti, B, Freni, F, Nicita, RA, Azielli, C et al. The role of cVEMPs and vHIT in the evaluation of otosclerosis and its eventual vestibular impairment: preliminary findings. B-ENT 2017;13(1 Suppl 27):31–6Google ScholarPubMed
Sando, I, Hemenway, WG, Miller, DR, Black, FO. Vestibular pathology in otosclerosis temporal bone histopathological report. Laryngoscope 1974;84:593605CrossRefGoogle Scholar
Ghorayeb, BY, Linthicum, FH Jr. Otosclerotic inner ear syndrome. Ann Otol Rhinol Laryngol 1978;87(1 Pt 1):8590CrossRefGoogle ScholarPubMed