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논문 기본 정보

자료유형
학술저널
저자정보
Dong Hyuk Jang (Department of Otorhinolaryngology-Head and Neck Surgery Nowon Eulji Medical Center Eulji University School of Medicine Seoul Korea) Sun Seong Kang (Department of Otorhinolaryngology-Head and Neck Surgery Nowon Eulji Medical Center Eulji University School of Medicine Seoul Korea) Hyun Joon Shim (Department of Otorhinolaryngology-Head and Neck Surgery Nowon Eulji Medical Center Eulji University School of Medicine Seoul Korea) Yong-Hwi An (Department of Otorhinolaryngology-Head and Neck Surgery Nowon Eulji Medical Center Eulji University School of Medicine Seoul Korea)
저널정보
대한평형의학회 Research in Vestibular Science Research in Vestibular Science Vol.22 No.2
발행연도
2023.6
수록면
46 - 51 (6page)
DOI
10.21790/rvs.2023.22.2.46

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초록· 키워드

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Objectives: This study was performed to evaluate characteristics and their prognostic value of video-head impulse test (vHIT) in sudden sensorineural hearing loss (SSNHL) with vertigo. Methods: Of the 612 patients with a diagnosis of SSNHL from 2010 to 2018, 110 patients (18.0%) with vertigo and 39 patients (6.4%) with vHIT results were recruited. The patients were evaluated for their pure-tone hearing average (at initial, 1-month, and 6-month visit), the presence of re-fixation saccade and gains at vHIT, the canal paresis (CP) at ccaloric test. Results: Patients with saccade (+) showed higher pure-tone averages than those with saccade (‒) on initial and follow-up audiograms. The improvement in puretone averages was less in the saccade (+) group than in the saccade (‒) group. There was no significant difference of hearing recovery between SSNHL patients with normal gain and those with decreased gain. There was no difference of hearing improvement between CP (+) and CP (‒) groups according to the presence of re-fixation saccade. Conclusions: Concurrent re-fixation saccade at vHIT is a negative prognostic factor of hearing function in SSNHL. Re-fixation saccade in SSNHL may suggest widespread damages to both the cochlea and the vestibule, leading to the poor prognosis.

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