The Turkish Journal of Ear Nose and Throat

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Research Article


DOI :10.26650/Tr-ENT.2024.1464970   IUP :10.26650/Tr-ENT.2024.1464970    Full Text (PDF)

Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss

Ayça Başkadem Yılmazer, Sabire Sitare Sarıçam, Güler Berkiten, Öykü İzel Onaran, Melis Ece Arkan Anarat, Belgin Tutar, Hüseyin Sarı, Ömür Biltekin Tuna

Objective: To assess vestibular evoked myogenic potentials (VEMP), both cervical (c-VEMP) and ocular (o-VEMP), in patients diagnosed with unilateral sudden hearing loss and presenting with vestibular symptoms and to determine whether these responses can serve as predictive parameters for recovery.

Materials and Methods: Patients diagnosed with unilateral sudden sensorineural hearing loss (SSHL) and vertigo and healthy volunteers without ear pathology were included. All participants underwent ear tests, including pure tone audiometry and c-VEMP and o-VEMP tests.

Results: When comparing the VEMP values of the patients who showed improved hearing with those who did not, it was observed that the o-VEMP amplitude of non-improved patients was statistically lower (p=0.013). Moreover, in the non-improved group, the c-VEMP P1 latencies were lower, and the amplitude asymmetry ratio (AAR) of c-VEMP was significantly higher than that in the control group, significantly (p=0.006 and p<0.001, respectively; Mann Whitney U test with Bonferroni Correction p<0.017).

Conclusion: In patients with SSHL and vertigo, VEMP testing is beneficial for detecting the vestibular component of the disease. There was no asymmetry in VEMP responses between the affected and unaffected ear sides. Patients with SSHL who have vertigo have poor hearing loss recovery rates in the case of low-amplitude o-VEMP responses.

Keywords: Hearing loss sudden, vestibular evoked myogenic potentials, prognosis

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APA

Başkadem Yılmazer, A., Sitare Sarıçam, S., Berkiten, G., Onaran, Ö.İ., Arkan Anarat, M.E., Tutar, B., Sarı, H., & Biltekin Tuna, Ö. (2024). Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss. The Turkish Journal of Ear Nose and Throat, 34(3), 71-76. https://doi.org/10.26650/Tr-ENT.2024.1464970


AMA

Başkadem Yılmazer A, Sitare Sarıçam S, Berkiten G, Onaran Ö İ, Arkan Anarat M E, Tutar B, Sarı H, Biltekin Tuna Ö. Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss. The Turkish Journal of Ear Nose and Throat. 2024;34(3):71-76. https://doi.org/10.26650/Tr-ENT.2024.1464970


ABNT

Başkadem Yılmazer, A.; Sitare Sarıçam, S.; Berkiten, G.; Onaran, Ö.İ.; Arkan Anarat, M.E.; Tutar, B.; Sarı, H.; Biltekin Tuna, Ö. Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss. The Turkish Journal of Ear Nose and Throat, [Publisher Location], v. 34, n. 3, p. 71-76, 2024.


Chicago: Author-Date Style

Başkadem Yılmazer, Ayça, and Sabire Sitare Sarıçam and Güler Berkiten and Öykü İzel Onaran and Melis Ece Arkan Anarat and Belgin Tutar and Hüseyin Sarı and Ömür Biltekin Tuna. 2024. “Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss.” The Turkish Journal of Ear Nose and Throat 34, no. 3: 71-76. https://doi.org/10.26650/Tr-ENT.2024.1464970


Chicago: Humanities Style

Başkadem Yılmazer, Ayça, and Sabire Sitare Sarıçam and Güler Berkiten and Öykü İzel Onaran and Melis Ece Arkan Anarat and Belgin Tutar and Hüseyin Sarı and Ömür Biltekin Tuna. “Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss.” The Turkish Journal of Ear Nose and Throat 34, no. 3 (Oct. 2024): 71-76. https://doi.org/10.26650/Tr-ENT.2024.1464970


Harvard: Australian Style

Başkadem Yılmazer, A & Sitare Sarıçam, S & Berkiten, G & Onaran, Öİ & Arkan Anarat, ME & Tutar, B & Sarı, H & Biltekin Tuna, Ö 2024, 'Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss', The Turkish Journal of Ear Nose and Throat, vol. 34, no. 3, pp. 71-76, viewed 11 Oct. 2024, https://doi.org/10.26650/Tr-ENT.2024.1464970


Harvard: Author-Date Style

Başkadem Yılmazer, A. and Sitare Sarıçam, S. and Berkiten, G. and Onaran, Ö.İ. and Arkan Anarat, M.E. and Tutar, B. and Sarı, H. and Biltekin Tuna, Ö. (2024) ‘Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss’, The Turkish Journal of Ear Nose and Throat, 34(3), pp. 71-76. https://doi.org/10.26650/Tr-ENT.2024.1464970 (11 Oct. 2024).


MLA

Başkadem Yılmazer, Ayça, and Sabire Sitare Sarıçam and Güler Berkiten and Öykü İzel Onaran and Melis Ece Arkan Anarat and Belgin Tutar and Hüseyin Sarı and Ömür Biltekin Tuna. “Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss.” The Turkish Journal of Ear Nose and Throat, vol. 34, no. 3, 2024, pp. 71-76. [Database Container], https://doi.org/10.26650/Tr-ENT.2024.1464970


Vancouver

Başkadem Yılmazer A, Sitare Sarıçam S, Berkiten G, Onaran Öİ, Arkan Anarat ME, Tutar B, Sarı H, Biltekin Tuna Ö. Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss. The Turkish Journal of Ear Nose and Throat [Internet]. 11 Oct. 2024 [cited 11 Oct. 2024];34(3):71-76. Available from: https://doi.org/10.26650/Tr-ENT.2024.1464970 doi: 10.26650/Tr-ENT.2024.1464970


ISNAD

Başkadem Yılmazer, Ayça - Sitare Sarıçam, Sabire - Berkiten, Güler - Onaran, Öyküİzel - Arkan Anarat, MelisEce - Tutar, Belgin - Sarı, Hüseyin - Biltekin Tuna, Ömür. “Low Amplitude of Ocular Vestibular-Evoked Myogenic Potentials Can Denote Poor Prognosis in Patients with Idiopathic Sudden Sensorineural Hearing Loss”. The Turkish Journal of Ear Nose and Throat 34/3 (Oct. 2024): 71-76. https://doi.org/10.26650/Tr-ENT.2024.1464970



TIMELINE


Submitted04.04.2024
Accepted01.07.2024
Published Online30.07.2024

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