The Journal of International
Advanced Otology
Original Article

Analysis of Vestibular Evoked Myogenic Potentials and Electrocochleography in Noise Induced Hearing Loss


Department of Otorhinolaryngology and Head and Neck Surgery, Gülhane Military Medical Academy, Ankara, Turkey

J Int Adv Otol 2015; 11: 127-132
DOI: 10.5152/iao.2015.1025
Read: 1311 Downloads: 735 Published: 03 September 2019


OBJECTIVE: Our objective was to analyze the electrocochleography (ECoG) and cervical vestibular evoked myogenic potential (cVEMP) results of patients with noise-induced hearing loss (NIHL).


MATERIALS and METHODS: The study included 20 patients with NIHL. Pure-tone audiometry, tympanic membrane ECoG, and cVEMP were performed on all patients. The patients were divided into two groups based on averaged thresholds at 4, 6, and 8 kHz; whereby, group 1 comprised patients who had a threshold higher than 68.3 dB HL, whereas group 2 comprised patients with a threshold lower than 68.3 dB HL.


RESULTS: Group 2 had a significantly higher number of patients with abnormal cVEMP values (63% versus 28%) (p=0.028). There was no significant difference in the incidence of ECoG abnormality between the groups (p>0.05), but there was a significant difference in the incidence of recognizable ECoG potentials between the groups (p<0.05). When only patients with vertigo/dizziness were considered, the group with vertigo and a lower degree of hearing loss (group 2) showed a higher incidence of abnormal cVEMP (p<0.05).



CONCLUSION: Although the anatomical proximity of the sacculus to the cochlea leads to the consideration of a common involvement of these structures in NIHL, our results did not support the idea of a common and proportional involvement of the vestibular and auditory systems. Our study shows that saccular involvement is disproportionate to auditory involvement in NIHL.

EISSN 2148-3817