Abstract
Vestibular functions in twenty-five patients with otosclerosis were analyzed before and after undergoing stapes surgery. Vertigo was present preoperatively in 6 patients, which disappeared completely after 4–6 weeks of surgery in all the patients indicating the usefulness of stapedectomy. Patients with otosclerosis demonstrated hypoexcitability compared to controls, which was statistically significant for right cold and hot irrigation. Our results showed equal culoric abnormalities in patients with mixed hearing loss and conductive loss. Patients with obliterative focus at surgery had impaired vestibular functions compared to non-obliterative foci without any statistical significance. A longer piston used at surgery tends to produce more vestibular damage compared to a smaller piston. Finally, the degree of vestibular dysfunction seems to be inversely proportional to the hearing result.
Key Words: Otospongiosis, Vertigo, Stapes surgery, Electronystagmography
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References
- 1.Ramussen H. Vestibular functions prior to and following operation for otosclerosis. Arch. Otolaryngol. 1949;49:402–413. doi: 10.1001/archotol.1949.03760100070005. [DOI] [PubMed] [Google Scholar]
- 2.Hulk J., Jongkees L.B.W. Vestibular examination in cases of Otosclerosis. Jl. Laryngol. Otol. Rhinol. 1950;64:126–126. [Google Scholar]
- 3.Meurman O.H., Aantaa E., Virolainen E. Vestibular disturbances in clinical otosclerosis. Arch. Otolaryngol. (chic) 1969;90:756–758. [Google Scholar]
- 4.Morales-Garcia C. Cochleo vestibular involvement in otosclerosis. Acta Otolaryngol. 1972;73:4484–492. doi: 10.3109/00016487209138969. [DOI] [PubMed] [Google Scholar]
- 5.Cawthome T. Otosclerosis. Jl. Laryngol Otol. Rhinol. 1955;69:437–437. [Google Scholar]
- 6.Fisch U. Vestibular symptome vor und nach stapedectomie. Acta Otolaryngol. (Stockh). 1965;60:515–30. doi: 10.3109/00016486509127035. [DOI] [PubMed] [Google Scholar]
- 7.Yoon T.H., Paparella M.M., Schachern P.A. Otosclerosis involving the vestibular aqueduct and Menieres disease. Otolaryngol Head and Neck Surg. 1990;103(1):107–113. doi: 10.1177/019459989010300116. [DOI] [PubMed] [Google Scholar]
- 8.Richards S.H. Menieres Syndrome in otosclerosis. Br. Med. Jl. 1964;2:1227–1227. doi: 10.1136/bmj.2.5419.1227. [DOI] [Google Scholar]
- 9.Paperella M.M., Chasin W.D. Otosclerosis and vertigo. Jl. Laryngol Otol and Rhinol. 1996;80:511–511. doi: 10.1017/s0022215100065579. [DOI] [PubMed] [Google Scholar]
- 10.Ghorayeb Y.B., Linthicum F.H. Otosclerotic inner ear syndrome. Ann. Otol. 1978;87:85–90. doi: 10.1177/000348947808700115. [DOI] [PubMed] [Google Scholar]
- 11.Virolainen E. (1972): Vestibular disturbances in clinical otosclerosis. Acta Otolaryngol (Stockh) Suppl. 306. [PubMed]
- 12.Cody D.T.R., Baker H.L. Otosclerosis. Vestibular symptoms and sensorineural hearing loss. Ann. Otol. Rhinol. 1978;87:778–796. doi: 10.1177/000348947808700605. [DOI] [PubMed] [Google Scholar]
- 13.Morwiec B.A. Effect of equilibrium disorders in Otosclerotic patients post stapedectomy on post operative hearing improvement. Otolaryngol Pol. 1992;46(4):392–6. [PubMed] [Google Scholar]
