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Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()

INTRODUCTION: Sudden hearing loss is an otorhinolaryngological emergency that often leads to severe damage to the auditory and vestibular function. The vestibular evoked myogenic potential is a test that allows a noninvasive evaluation of the otolithic system function and vestibulospinal and vestibu...

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Autores principales: Maia, Nathalia de Paula Doyle, Lopes, Karen de Carvalho, Ganança, Fernando Freitas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422557/
https://www.ncbi.nlm.nih.gov/pubmed/31796375
http://dx.doi.org/10.1016/j.bjorl.2019.10.001
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author Maia, Nathalia de Paula Doyle
Lopes, Karen de Carvalho
Ganança, Fernando Freitas
author_facet Maia, Nathalia de Paula Doyle
Lopes, Karen de Carvalho
Ganança, Fernando Freitas
author_sort Maia, Nathalia de Paula Doyle
collection PubMed
description INTRODUCTION: Sudden hearing loss is an otorhinolaryngological emergency that often leads to severe damage to the auditory and vestibular function. The vestibular evoked myogenic potential is a test that allows a noninvasive evaluation of the otolithic system function and vestibulospinal and vestibulo-ocular pathways. OBJECTIVE: To evaluate the importance of vestibular evoked myogenic potential in determining the prognosis of patients with sudden hearing loss. METHODS: A search for articles published up to December 2018 was performed in the PubMed, Cochrane, VHL and LILACS databases using MeSH descriptors. Retrospective and prospective articles were included containing cervical or ocular vestibular evoked myogenic potential in sudden hearing loss patients and information on associated vertigo and/or dizziness. RESULTS: Sixteen of 62 initially selected articles met the inclusion criteria and were analyzed. Regarding the methodology of the evaluated studies, 8 studies were prospective, six were retrospective, one contained part of the data from a retrospective analysis and another part from a prospective analysis, and one study was cross-sectional. A total of 872 patients were evaluated (50.22% males and 49.77% females) with a mean age of 51.26 years. Four hundred and twenty-six patients (50.35%) had vertigo and/or dizziness associated with sudden hearing loss. The cervical vestibular evoked myogenic potential was performed in all studies, but only seven assessed the ocular vestibular evoked myogenic potential. The cervical vestibular evoked myogenic potential showed alterations in 38.65% of 846 evaluated ears, whereas ocular vestibular evoked myogenic potential showed alterations in 47.88% of 368 evaluated ears. The hearing recovery rate was analyzed by 8 articles, with 63.4% of 410 evaluated ears showing hearing recovery. CONCLUSIONS: The studies suggest that the assessment of the vestibular system using vestibular evoked myogenic potential seems to be important in the prognosis of sudden hearing loss. For better follow-up of patients with sudden hearing loss, the emphasis should not be limited to the cochlea, but also include the diagnosis and treatment of vestibular abnormalities, regardless of the presence of vertigo.
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spelling pubmed-94225572022-08-31 Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review() Maia, Nathalia de Paula Doyle Lopes, Karen de Carvalho Ganança, Fernando Freitas Braz J Otorhinolaryngol Review Article INTRODUCTION: Sudden hearing loss is an otorhinolaryngological emergency that often leads to severe damage to the auditory and vestibular function. The vestibular evoked myogenic potential is a test that allows a noninvasive evaluation of the otolithic system function and vestibulospinal and vestibulo-ocular pathways. OBJECTIVE: To evaluate the importance of vestibular evoked myogenic potential in determining the prognosis of patients with sudden hearing loss. METHODS: A search for articles published up to December 2018 was performed in the PubMed, Cochrane, VHL and LILACS databases using MeSH descriptors. Retrospective and prospective articles were included containing cervical or ocular vestibular evoked myogenic potential in sudden hearing loss patients and information on associated vertigo and/or dizziness. RESULTS: Sixteen of 62 initially selected articles met the inclusion criteria and were analyzed. Regarding the methodology of the evaluated studies, 8 studies were prospective, six were retrospective, one contained part of the data from a retrospective analysis and another part from a prospective analysis, and one study was cross-sectional. A total of 872 patients were evaluated (50.22% males and 49.77% females) with a mean age of 51.26 years. Four hundred and twenty-six patients (50.35%) had vertigo and/or dizziness associated with sudden hearing loss. The cervical vestibular evoked myogenic potential was performed in all studies, but only seven assessed the ocular vestibular evoked myogenic potential. The cervical vestibular evoked myogenic potential showed alterations in 38.65% of 846 evaluated ears, whereas ocular vestibular evoked myogenic potential showed alterations in 47.88% of 368 evaluated ears. The hearing recovery rate was analyzed by 8 articles, with 63.4% of 410 evaluated ears showing hearing recovery. CONCLUSIONS: The studies suggest that the assessment of the vestibular system using vestibular evoked myogenic potential seems to be important in the prognosis of sudden hearing loss. For better follow-up of patients with sudden hearing loss, the emphasis should not be limited to the cochlea, but also include the diagnosis and treatment of vestibular abnormalities, regardless of the presence of vertigo. Elsevier 2019-11-02 /pmc/articles/PMC9422557/ /pubmed/31796375 http://dx.doi.org/10.1016/j.bjorl.2019.10.001 Text en © 2019 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review Article
Maia, Nathalia de Paula Doyle
Lopes, Karen de Carvalho
Ganança, Fernando Freitas
Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
title Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
title_full Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
title_fullStr Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
title_full_unstemmed Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
title_short Vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
title_sort vestibular evoked myogenic potentials in the prognosis of sudden hearing loss ‒ a systematic review()
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422557/
https://www.ncbi.nlm.nih.gov/pubmed/31796375
http://dx.doi.org/10.1016/j.bjorl.2019.10.001
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