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Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media
INTRODUCTION: In recent years, scientific evidence has shown that chronic otitis media may cause balance and vestibular dysfunction. OBJECTIVE: To compare the results of the video head impulse test (gain and symmetry of the vestibulo-ocular reflex and presence of covert and overt saccades) in patien...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483944/ https://www.ncbi.nlm.nih.gov/pubmed/33132091 http://dx.doi.org/10.1016/j.bjorl.2020.09.006 |
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author | Tomaz, Andreza Monsanto, Rafael da Costa Cusin, Flavia Salvaterra Kasemodel, Ana Luiza Papi Penido, Norma de Oliveira |
author_facet | Tomaz, Andreza Monsanto, Rafael da Costa Cusin, Flavia Salvaterra Kasemodel, Ana Luiza Papi Penido, Norma de Oliveira |
author_sort | Tomaz, Andreza |
collection | PubMed |
description | INTRODUCTION: In recent years, scientific evidence has shown that chronic otitis media may cause balance and vestibular dysfunction. OBJECTIVE: To compare the results of the video head impulse test (gain and symmetry of the vestibulo-ocular reflex and presence of covert and overt saccades) in patients with chronic otitis media and controls. METHODS: Cross-sectional study of patients with chronic otitis media (study group), aged between 18 and 60 years. The patients in the study group were further divided according to the chronic otitis media type as (1) non-suppurative, (2) suppurative, and (3) cholesteatomatous. For the comparative analysis, we selected volunteers with no history of ear and vestibular diseases (control group), who met the same inclusion and exclusion criteria as the study group. Patients in both groups underwent a video head impulse test. RESULTS: The study group consisted of 96 volunteers, and the control group of 61 individuals. The prevalence of vestibular symptoms was 66% in the study group and 3.2% in the control group (p < 0.001). The results show a higher prevalence of changes in the vestibulo-ocular reflex gain (22.9%) and corrective saccades (12.6%) in the chronic otitis media group compared to the control group (p < 0.001). Despite the higher prevalence of changes in gain, the average vestibulo-ocular reflex gains in the chronic otitis media groups were within the pre-defined values of normality; however, the mean vestibulo-ocular reflex gain in the anterior semicircular canal was statistically worse in the cholesteatomatous chronic otitis media group compared to controls (p < 0.001). Regarding the corrective saccades, the prevalence of saccades was statistically higher in the suppurative and cholesteatomatous chronic otitis media subgroups compared to the non-suppurative and control groups (p = 0.004). CONCLUSION: The present study demonstrated that chronic otitis media is associated with a higher prevalence of vestibular symptoms and also a higher prevalence of changes in gain and corrective saccades when compared to controls. |
format | Online Article Text |
id | pubmed-9483944 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94839442022-09-20 Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media Tomaz, Andreza Monsanto, Rafael da Costa Cusin, Flavia Salvaterra Kasemodel, Ana Luiza Papi Penido, Norma de Oliveira Braz J Otorhinolaryngol Original Article INTRODUCTION: In recent years, scientific evidence has shown that chronic otitis media may cause balance and vestibular dysfunction. OBJECTIVE: To compare the results of the video head impulse test (gain and symmetry of the vestibulo-ocular reflex and presence of covert and overt saccades) in patients with chronic otitis media and controls. METHODS: Cross-sectional study of patients with chronic otitis media (study group), aged between 18 and 60 years. The patients in the study group were further divided according to the chronic otitis media type as (1) non-suppurative, (2) suppurative, and (3) cholesteatomatous. For the comparative analysis, we selected volunteers with no history of ear and vestibular diseases (control group), who met the same inclusion and exclusion criteria as the study group. Patients in both groups underwent a video head impulse test. RESULTS: The study group consisted of 96 volunteers, and the control group of 61 individuals. The prevalence of vestibular symptoms was 66% in the study group and 3.2% in the control group (p < 0.001). The results show a higher prevalence of changes in the vestibulo-ocular reflex gain (22.9%) and corrective saccades (12.6%) in the chronic otitis media group compared to the control group (p < 0.001). Despite the higher prevalence of changes in gain, the average vestibulo-ocular reflex gains in the chronic otitis media groups were within the pre-defined values of normality; however, the mean vestibulo-ocular reflex gain in the anterior semicircular canal was statistically worse in the cholesteatomatous chronic otitis media group compared to controls (p < 0.001). Regarding the corrective saccades, the prevalence of saccades was statistically higher in the suppurative and cholesteatomatous chronic otitis media subgroups compared to the non-suppurative and control groups (p = 0.004). CONCLUSION: The present study demonstrated that chronic otitis media is associated with a higher prevalence of vestibular symptoms and also a higher prevalence of changes in gain and corrective saccades when compared to controls. Elsevier 2020-10-16 /pmc/articles/PMC9483944/ /pubmed/33132091 http://dx.doi.org/10.1016/j.bjorl.2020.09.006 Text en © 2020 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 | Original Article Tomaz, Andreza Monsanto, Rafael da Costa Cusin, Flavia Salvaterra Kasemodel, Ana Luiza Papi Penido, Norma de Oliveira Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
title | Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
title_full | Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
title_fullStr | Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
title_full_unstemmed | Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
title_short | Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
title_sort | evaluation of the vestibulo-ocular reflex in patients with chronic otitis media |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483944/ https://www.ncbi.nlm.nih.gov/pubmed/33132091 http://dx.doi.org/10.1016/j.bjorl.2020.09.006 |
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