Relationship between short-term prognosis and symptoms of vertigo and vestibular function in patients with unilateral flat descending sudden sensorineural hearing loss.
10.13201/j.issn.2096-7993.2025.10.006
- Author:
Jingyi ZHU
1
;
Sihan HUANG
1
;
Shuna LI
1
;
Jianyong CHEN
1
;
Guiliang ZHENG
1
;
Qing ZHANG
1
;
Yuan ZHOU
1
;
Yulian JIN
1
;
Jun YANG
1
;
Min LIANG
1
Author Information
1. Department of Otolaryngology-Head and Neck Surgery，Xinhua Hospital，Shanghai Jiaotong University School of Medicine；Ear Institute，Shanghai Jiaotong University School of Medicine；Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases，Shanghai，200092，China.
- Publication Type:Journal Article
- Keywords:
caloric test;
sudden sensorineural hearing loss;
vestibular evoked myogenic potentials;
vestibular function;
video Head Impulse test
- MeSH:
Humans;
Male;
Female;
Retrospective Studies;
Prognosis;
Adult;
Middle Aged;
Vertigo/diagnosis*;
Hearing Loss, Sensorineural/diagnosis*;
Young Adult;
Hearing Loss, Sudden/diagnosis*;
Adolescent;
Aged;
Vestibular Evoked Myogenic Potentials
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(10):930-940
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between symptoms of vertigo and vestibular functions and short-term hearing outcomes in patients with flat descending sudden sensorineural hearing loss （SSNHL）. Methods:A retrospective review was conducted of the vestibular symptoms observed in 48 patients with unilateral flat-down sudden sensorineural hearing loss treated at the Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine. Symptoms of vertigo and the results of cervical vestibular-evoked myogenic potentials （cVEMP）, ocular VEMP （oVEMP）, caloric test and video head-impulse test （vHIT） were collected to determine whether these factors could predict therapeutic efficacy. Results:The symptoms of vertigo was not correlated with prognosis （P>0.05） or with abnormal vestibular functions （P>0.05）. Patients with abnormal cVEMP, oVEMP, caloric test or vHIT showed significantly lower effective rates （32.0%, 44.0%, 32.0%, and 24.0%, respectively）; the greater the number of abnormal tests, the poorer the outcome. Patients with all four tests abnormal gained only （3.13±15.97） dB HL in hearing recovery, whereas those with normal cVEMP, oVEMP, caloric test or vHIT showed better chances of hearing improvements by （29.22±20.31）, （31.18±21.59）, （26.17±21.31）, and （26.38±24.05） dB HL, respectively. Conclusion:Vestibular function effectively predicts prognosis in flat descending SSNHL. Patients with abnormal vestibular tests, regardless of symptoms of vertigo, responded poorly to treatment, whereas those with normal cVEMP, oVEMP, caloric test and vHIT results achieved better hearing recovery. Abnormal vestibular function implies more extensive and severe inner-ear lesions in patients with SSNHL.
