Otolaryngology · 2007 · 74 citations · 12 references
Health ProfessionsAudiologyOtolaryngologyClinical AudiologyOtologyVestibular DisordersCaloric TestingHearing ImpairmentHearing LossNoise-induced Hearing DamageVestibular Evoked Myogenic PotentialsVestibular TestingAbnormal Caloric ResponsesAudiovestibular FindingsHearing Threshold AssessmentHearing Threshold LevelNoise-induced Hearing Loss MechanismsThreshold AudiometryVestibulocochlear Nerve ExaminationVestibulocochlear Nerve Function
OBJECTIVE: To investigate the effect of chronic noise exposure on vestibular-evoked myogenic potentials. STUDY DESIGN: Prospective study. SUBJECTS AND METHODS: Twenty patients with chronic noise-induced hearing loss, presenting as bilateral notched audiogram at 4 kHz, underwent audiometry, caloric, and vestibular-evoked myogenic potential tests. RESULTS: Caloric and vestibular-evoked myogenic potential tests revealed abnormal responses in nine (45%) and 10 (50%) patients, respectively. However, when both results were considered together, the abnormal rate reached 70% (14 of 20). The hearing threshold of 4 kHz significantly associated with vestibular-evoked myogenic potential results (ie, vestibular-evoked myogenic potential was abnormal in patients with greater degrees of hearing loss), but not with caloric responses. CONCLUSION: Patients with bilateral 4-kHz notched audiogram and hearing threshold of 4 kHz > 40 dB may show abnormal (absent or delayed) vestibular-evoked myogenic potentials, indicating that the vestibular part, especially the sacculocollic reflex pathway, has also been damaged.
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Clinical Manifestations of Superior Semicircular Canal Dehiscence
Lloyd B. Minor · The Laryngoscope · 2005 · 531 citations · Full text
Anatomical correlates of impulse noise-induced mechanical damage in the cochlea
Roger P. Hamernik, George Turrentine, M. Roberto et al. · Hearing Research · 1984 · 178 citations