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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Evaluation of vestibular function in patients with chronic suppurative otitis media
ORL, Volume 75, No. 6, Year 2014
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Description
Objective: The objective of this study was to assess vestibular functions in patients with chronic suppurative otitis media (CSOM) with and without sensorineural hearing loss. Study Design: This was a prospective case study performed at a tertiary referral university hospital. Sixty patients with CSOM were included, and patients with a history of head trauma, diabetes, hypertension, previous ear surgery, use of ototoxic drugs, neurological deficits and suspected fistulae were excluded. Patients and Methods: The patients underwent basic audiological evaluation, and clinical and instrumental vestibular evaluation. The incidence and extent of vestibular dysfunction in patients with CSOM were analyzed. Results: A total of 42 males and 16 females with a mean age of 29.5 years were included in this study. Forty ears had tubotympanic disease and 19 had cholesteatoma. There were 14 ears with sensorineural hearing loss. A positive history of vertigo was reported in 53.5% of the cases. Rotatory chair abnormalities were found in 70% of the cases, caloric hypofunction was found in 61.6%, and vestibular myogenic evoked potentials were abnormal in 25%. The only positive correlation with vestibular dysfunction was the duration of disease. Conclusions: The vestibular system is significantly affected in cases with CSOM. Both semicircular canals and the saccule are affected. All patients with long-standing CSOM should be evaluated for vestibular dysfunction irrespective of their hearing levels. © 2014 S. Karger AG, Basel.
Authors & Co-Authors
Mostafa, Badr Eldin
Egypt, Cairo
Ain Shams University
Shafik, Amr Gouda
Egypt, Cairo
Ain Shams University
El-Makhzangy, Aly Mohammad Nagy
Egypt, Cairo
Ain Shams University
Taha, Hesham Mohammed Othman
Egypt, Cairo
Ain Shams University
Mageed, Heba Mahmoud Abdel
Egypt, Cairo
Ain Shams University
Statistics
Citations: 19
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1159/000357475
ISSN:
03011569
e-ISSN:
14230275
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Case Study
Study Approach
Qualitative
Participants Gender
Female