Vestibular and cochlear dysfunction in aging: Two sides of the same coin?

Objective Nonspecific complaints of hearing loss, vertigo, imbalance, and instability, without a defined etiology, are very prevalent in the elderly population, with a great impact on morbidity and mortality in this age group. The objectives of this study were to verify whether there is age‐related...

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Published in:World journal of otorhinolaryngology - head and neck surgery 2022-12, Vol.8 (4), p.308-314
Main Authors: Azevedo, Cátia, Vilarinho, Sérgio, Sousa Menezes, Ana, Milhazes Mar, Fernando, Dias, Luís
Format: Article
Language:English
Subjects:
Age groups
aged
Aging
Audiometry
bilateral vestibulopathy
caloric tests
Complaints
Disease
Hearing loss
Older people
Otolaryngology
presbycusis
Research Paper
Research Papers
Vertigo
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container_title World journal of otorhinolaryngology - head and neck surgery
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creator Azevedo, Cátia
Vilarinho, Sérgio
Sousa Menezes, Ana
Milhazes Mar, Fernando
Dias, Luís
description Objective Nonspecific complaints of hearing loss, vertigo, imbalance, and instability, without a defined etiology, are very prevalent in the elderly population, with a great impact on morbidity and mortality in this age group. The objectives of this study were to verify whether there is age‐related vestibular dysfunction and to test the association of vestibular dysfunction with presbycusis in the elderly population. Methods Original retrospective analytical cross‐sectional study, carried out with 80 patients who underwent a videonystagmography and complete audiometric evaluation due to nonspecific vestibular complaints, without a specific vestibular disorder diagnosis. Patients were selected and divided into two distinct age groups (group A: >60 years; group B: 18–50 years) and, in both groups, we analyzed the caloric tests and the pure‐tone audiometry. Results In the vestibular evaluation, we found that there was a statistically significant difference (P 
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The objectives of this study were to verify whether there is age‐related vestibular dysfunction and to test the association of vestibular dysfunction with presbycusis in the elderly population. Methods Original retrospective analytical cross‐sectional study, carried out with 80 patients who underwent a videonystagmography and complete audiometric evaluation due to nonspecific vestibular complaints, without a specific vestibular disorder diagnosis. Patients were selected and divided into two distinct age groups (group A: &gt;60 years; group B: 18–50 years) and, in both groups, we analyzed the caloric tests and the pure‐tone audiometry. Results In the vestibular evaluation, we found that there was a statistically significant difference (P &lt; 0.05) between groups in the prevalence of bilateral vestibular weakness (group A: 22.5%; group B: 5%), and that the increase in age, above 60 years, is negatively correlated with the mean total caloric response. Additionally, we obtained a reasonable negative and statistically significant correlation (r = −0.320, P &lt; 0.05) between the mean bone conduction thresholds at high frequencies and total caloric responses in group A. Conclusions In patients with hearing loss, it is essential to perform a complete vestibular study to diagnose vestibular disorders and, consequently, prevent adverse outcomes that may result from these alterations.</description><identifier>ISSN: 2095-8811</identifier><identifier>ISSN: 2589-1081</identifier><identifier>EISSN: 2589-1081</identifier><identifier>DOI: 10.1002/wjo2.59</identifier><identifier>PMID: 36474668</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Age groups ; aged ; Aging ; Audiometry ; bilateral vestibulopathy ; caloric tests ; Complaints ; Disease ; Hearing loss ; Older people ; Otolaryngology ; presbycusis ; Research Paper ; Research Papers ; Vertigo</subject><ispartof>World journal of otorhinolaryngology - head and neck surgery, 2022-12, Vol.8 (4), p.308-314</ispartof><rights>2022 The Authors. World Journal of Otorhinolaryngology ‐ Head and Neck Surgery published by John Wiley &amp; Sons Ltd on behalf of Chinese Medical Association.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). 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The objectives of this study were to verify whether there is age‐related vestibular dysfunction and to test the association of vestibular dysfunction with presbycusis in the elderly population. Methods Original retrospective analytical cross‐sectional study, carried out with 80 patients who underwent a videonystagmography and complete audiometric evaluation due to nonspecific vestibular complaints, without a specific vestibular disorder diagnosis. Patients were selected and divided into two distinct age groups (group A: &gt;60 years; group B: 18–50 years) and, in both groups, we analyzed the caloric tests and the pure‐tone audiometry. Results In the vestibular evaluation, we found that there was a statistically significant difference (P &lt; 0.05) between groups in the prevalence of bilateral vestibular weakness (group A: 22.5%; group B: 5%), and that the increase in age, above 60 years, is negatively correlated with the mean total caloric response. Additionally, we obtained a reasonable negative and statistically significant correlation (r = −0.320, P &lt; 0.05) between the mean bone conduction thresholds at high frequencies and total caloric responses in group A. 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Additionally, we obtained a reasonable negative and statistically significant correlation (r = −0.320, P &lt; 0.05) between the mean bone conduction thresholds at high frequencies and total caloric responses in group A. Conclusions In patients with hearing loss, it is essential to perform a complete vestibular study to diagnose vestibular disorders and, consequently, prevent adverse outcomes that may result from these alterations.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>36474668</pmid><doi>10.1002/wjo2.59</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Age groups
aged
Aging
Audiometry
bilateral vestibulopathy
caloric tests
Complaints
Disease
Hearing loss
Older people
Otolaryngology
presbycusis
Research Paper
Research Papers
Vertigo
title Vestibular and cochlear dysfunction in aging: Two sides of the same coin?
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