Page 37 - Portuguese Journal - SPORL - Vol 61. Nº2
P. 37

Characterization of the vestibular


          function in an otosclerosis population

          – a pilot case-control study





             Original Article


          Authors                                            Abstract

                                                             Objectives: Characterization of the vestibular
          Miguel Campos Lopes                                function in an otosclerosis population, and its
          Centro Hospitalar de Entre o Douro e Vouga, Portugal  comparison with a healthy population.
                                                             Study Design: Case-control study.
          Alexandra Correia                                  Material and Methods: Patients with clinical/
          Centro Hospitalar de Entre o Douro e Vouga, Portuga
                                                             audiological suspicion of otosclerosis (surgically
          Hélder Silva                                       confirmed)  and  healthy  controls  matched  for
          Centro Hospitalar de Entre o Douro e Vouga, Portugal  age and sex were recruited. Vestibular function
                                                             was evaluated using the Video Head Impulse
          Natália Oliveira                                   Test and the Dizziness Handicap Inventory (DHI)
          Centro Hospitalar de Entre o Douro e Vouga, Portugal  questionnaire.
                                                             Results: A total of 24 participants (12 cases and
          Diana Ribeiro                                      12 controls) were included, of whom 91.6% were
          Centro Hospitalar de Entre o Douro e Vouga, Portugal  female, with a mean age of 44±2 years. The mean
                                                             semicircular  canal  gain  for  each  canal  did  not
          Vanessa Neves                                      show a statistically significant difference between
          Centro Hospitalar de Entre o Douro e Vouga, Portugal
                                                             the two groups. On the other hand, the DHI scores
          Vera Miranda                                       differed significantly between the two groups (24.1
          Centro Hospitalar de Entre o Douro e Vouga, Portugal  vs. 6.3; Mann-Whitney p<0.01).
                                                             Conclusion: It is possible to verify a subjective
          Carlos Carvalho                                    functional compromise of balance in patients
          Centro Hospitalar de Entre o Douro e Vouga, Portugal  with otosclerosis, which  does not  appear to  be
                                                             associated with dysfunction of the semicircular
                                                             canals.
                                                             Keywords: Otosclerosis; Vestibular Function; Video
                                                             Head Impulse Test; Dizziness Handicap Inventory.


                                                            Introduction
                                                            Otosclerosis  is  one  of  the  most  common
                                                            otologic   diseases,   with   an    estimated
                                                            prevalence of 0.3–0.4%. It affects the female
                                                            sex predominantly and typically presents
                                                            in the third and fourth decades of life. Its
                                                            clinical course is characterized by progressive
                                                            conductive    hearing   loss   secondary    to
                                                            otosclerotic  footplate  fixation,  which  can
          Correspondence:                                   progress   to   cochlear   involvement    and
          Miguel Campos Lopes                               sensorineural hearing loss.
                                                                                      1
          miguelcamposlopes@outlook.com                     The hearing component of otosclerosis is well
          Article received on April 9, 2023.                known and comprehensively described in the
          Accepted for publication on May 26, 2023.         literature.  However, the evidence regarding
                                                                      2,3


                                                                                      Volume 61 . Nº2 . June 2023 179
   32   33   34   35   36   37   38   39   40   41   42