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Objective: To assess balance function in patients with
radiologically confirmed otosclerosis.
Methods: Sixteen patients (female 14, male 2) who
attended the Neuro-Otology Clinic/ENT clinics at the Royal National Throat Nose
and Ear Hospital participated in this study. After general medical,
audiological and neuro-otological examination, patients underwent the caloric
and rotational testing.
Results: Thirteen of the 16 patients had
radiologically confirmed otosclerosis (12 females, 1 male). A total of 3
patients (female 2, male 1) did not have CT confirmation of otosclerosis and
therefore were excluded from the study. Therefore, the remaining 13 patients’
data were analyzed. Nine patients had a mixed hearing impairment at least on
one side, while eight patients had a bilateral mixed hearing loss and one
patient had a sensorineural hearing loss on the opposite side. Four patients
had a bilateral sensorineural hearing loss. Only one patient had a Canal
Paresis (CP) at 35%. None of the patients had any significant Directional
Preponderance (DP). The patient with significant CP (35%) did not show any
rotational asymmetry on impulsive rotation. Eleven patients had a rotational
chair test. Only one patient had a significant asymmetry to the right at 25.30%
(Normal range is <20%). Overall, 18% (n=2) of the radiologically confirmed
otosclerosis patients showed an abnormal balance test including both caloric
and rotational tests. More than 80% (n=9) of the patients with radiological
otosclerosis showed balance symptoms.
Conclusion: The current study indicates a high prevalence
of balance symptoms (n=9, 82%) in patients with radiological otosclerosis,
although only a small proportion (n=2, 18%) showed an abnormal vestibular
function on caloric and impulse rotation testing. However, due to a small
number of samples, further validation of this result is warranted.
Keywords: Balance, Otosclerosis, Canal paresis,
vestibular function, Hearing impairment
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