Clin Exp Otorhinolaryngol.  2010 Dec;3(4):199-202. 10.3342/ceo.2010.3.4.199.

Is BPPV a Prognostic Factor in Idiopathic Sudden Sensory Hearing Loss?

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Hongik Medical Center, Seoul, Korea.
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. miphy87@naver.com

Abstract


OBJECTIVES
The prognostic significance of vertigo in patients with idiopathic sudden sensorineural hearing loss (SSNHL) remains a matter of debate because vertigo is associated with many different vestibular disorders. The purpose of this study is to determine the role of benign paroxysmal positional vertigo (BPPV) as a prognostic factor in patients with SSNHL.
METHODS
We conducted a retrospective study of 298 patients with SSNHL. Hearing outcomes were evaluated by assessments of pre-treatment hearing and hearing gain. Comparative multivariate analyses between prognostic factors and hearing outcome were conducted.
RESULTS
Thirty-eight (12.7%) SSNHL patients were found to also have BPPV. BPPV showed significant negative prognostic factors in hearing outcome on multivariate analysis (odds ratio, 0.15). In comparison to average pure tone audiometry (PTA), patients diagnosed with SSNHL with BPPV exhibited poorer hearing in pre- and post-treatment PTA compared to SSNHL without BPPV. Old age (>60 years), pre-treatment hearing, and canal paresis were significant outcome predictors.
CONCLUSION
BPPV in SSNHL patients, representing definitive vestibular damage, was closely related to poor prognosis.

Keyword

Sudden hearing loss; Vertigo

MeSH Terms

Audiometry
Hearing
Hearing Loss, Sensorineural
Hearing Loss, Sudden
Humans
Multivariate Analysis
Paresis
Prognosis
Retrospective Studies
Vertigo
Vertigo

Figure

  • Fig. 1 The average pure tone audiometry (PTA) between pre- and post-treatment in idiopathic sudden sensorineural hearing loss (SSNHL) patients with benign paroxysmal positional vertigo (BPPV) and SSNHL patients without BPPV.


Cited by  1 articles

Clinical Manifestations and Prognosis of Benign Paroxysmal Positional Vertigo according to Etiology
Wook Jang, Jung-Woo Shin, Sang Woo Kim, Do Hyung Kim, Chang Gun Cho, Seok-Won Park, Yun-Sung Lim, Bo Hae Kim, Joo Hyun Park
Korean J Otorhinolaryngol-Head Neck Surg. 2022;65(1):18-23.    doi: 10.3342/kjorl-hns.2020.00962.


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