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Recent Advances in Audio-Vestibular Medicine
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Recent Advances in Audio-Vestibular Medicine

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 27 November 2024 | Viewed by 6807

Special Issue Editors

Dr. Eugen C. Ionescu

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Guest Editor
Department of Audiology and Otoneurological Evaluation, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France
Interests: otoneurologie; hearing loss; hearing disorders; otology; audiology; deafness; ENT; auditory neuroscience; audiometry; ear; auditory evoked potentials
Dr. Pierre Bertholon

E-Mail Website
Guest Editor
ENT and Head and Neck Surgery, Centre Hospitalier Universitaire de Saint Etienne, Saint-Etienne, France
Interests: vertigo and dizziness; positional vertigo; sensorineural; hearing loss
Prof. Dr. Hung Thai-Van

E-Mail Website
Guest Editor
1. Institut de l’Audition, Institut Pasteur, Inserm, 75012 Paris, France
2. Service d’Audiologie et d’Explorations Oto-Neurologiques, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
3. Faculty of Medicine, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
Interests: deafness; audiology; hearing disorders; ear; audiometry; otology; ENT; speech intelligibility; psychoacoustics; hearing loss

Special Issue Information

Dear Colleagues,

This special issue aims to encourage doctors, researchers and students in the field of Audiology and Vestibulology to publish original articles and review articles in this field which has seen such rapid development lately. Therefore, apart from the classic topics regarding the etiological diagnosis of congenital or acquired hearing deficits and their treatment all research subjects dealing with vestibular system damage associated or not with hearing loss will also be welcomed for submission.  Aware that hearing and balance disorders, isolated or associated with each other, are still in our times a source of depression, anxiety of various degrees frequently leading to social self-isolation, we hope that through this special issue we can facilitate and encourage clinical and fundamental research for a progress not only in the better understanding of these complex pathologies, but also to improve the ability of specialists to treat them.

Dr. Eugen C. Ionescu
Dr. Pierre Bertholon
Prof. Dr. Hung Thai-Van
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • neurosensorial or conductive hearing loss
  • presbyacusis
  • presbyvestibulia
  • vestibular impairment
  • bilateral vestibulopathy
  • auditory & vestibular rehabilitation
  • cochlear implantation
  • vestibular implantation

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Published Papers (4 papers)

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Research

12 pages, 451 KiB  
Article
Vestibular Function and Postural Control in Children with Autism Spectrum Disorder
by Donella Chisari, Jessica Vitkovic, Ross Clark and Gary Rance
J. Clin. Med. 2024, 13(17), 5323; https://doi.org/10.3390/jcm13175323 - 9 Sep 2024
Viewed by 1108
Abstract
Background: Postural control deficits have been documented in children with autism spectrum disorder (ASD), yet vestibular system contributions to postural control have not been widely considered. The purpose of this study is to explore the relationship between functional balance, postural sway, and vestibular [...] Read more.
Background: Postural control deficits have been documented in children with autism spectrum disorder (ASD), yet vestibular system contributions to postural control have not been widely considered. The purpose of this study is to explore the relationship between functional balance, postural sway, and vestibular function in children with ASD. Methods: Ten children with a confirmed diagnosis of ASD according to DSM-V guidelines along with ten children with no known neurodevelopmental or motor delays participated in the study. Bruininks–Oseretsky Test of Motor Proficiency and the Paediatric Balance Scale measured functional balance ability, and postural sway was measured using static posturography with modified sensory inputs. Peripheral vestibular function was measured using cervical vestibular evoked myogenic potentials and video head impulse testing. Correlations between measures were performed. Results: When visual cues were removed, children with ASD demonstrated larger path velocities indicative of reduced postural control, and different patterns of postural sway. Functional balance was correlated with path velocities for conditions where sensory information was modified. No differences in peripheral vestibular function were noted between groups, and functional balance was not correlated with vestibular function. Conclusions: Findings suggest that while peripheral vestibular function is similar between groups, postural control differences in children with ASD remain, particularly for conditions where sensory information is modified. Furthermore, demonstrated patterns of postural sway suggest sensory system integration is less developed in children with ASD. These findings highlight the importance of utilising a range of clinical tools to quantify balance ability and consideration of postural control measures to inform intervention. Full article
(This article belongs to the Special Issue Recent Advances in Audio-Vestibular Medicine)
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10 pages, 1837 KiB  
Article
Vestibular Assessment with the vHIT and Skull Vibration-Induced Nystagmus Test in Patients with Nonprogressive Vestibular Schwannoma
by Ioana Brudasca, Gabrielle Vassard-Yu, Maxime Fieux, Romain Tournegros, Olivier Dumas, Georges Dumas and Stéphane Tringali
J. Clin. Med. 2024, 13(9), 2454; https://doi.org/10.3390/jcm13092454 - 23 Apr 2024
Viewed by 914
Abstract
Background: Our primary objective was to monitor nonprogressive unilateral vestibular schwannomas (VSs) to assess the efficiency of rapid bedside examinations, such as the video head impulse test (vHIT) and skull vibration-induced nystagmus test (SVINT), in identifying vestibular damage. Methods: An observational [...] Read more.
Background: Our primary objective was to monitor nonprogressive unilateral vestibular schwannomas (VSs) to assess the efficiency of rapid bedside examinations, such as the video head impulse test (vHIT) and skull vibration-induced nystagmus test (SVINT), in identifying vestibular damage. Methods: An observational study was conducted from March 2021 to March 2022 on all adult patients (>18 years old) with a confirmed nonprogressive VS (no active treatment). The SVINT (using a 100 Hz vibrator with two (SVINT2) or three (SVINT3) stimulation locations) and vHIT (for the six semicircular canals (SCCs)) were performed on all patients. The asymmetry of function between the vestibules was considered significant when the gain asymmetry was greater than 0.1. Rapid and repeatable assessment of VSs using two- and three-stimulation SVINT plus vHIT was performed to quantify intervestibular asymmetry. Results: SVINT3 and SVINT2 triggered VIN in 40% (24/60) and 65% (39/60) of patients, respectively. There was significant asymmetry in the vestibulo-ocular reflex (VOR), as shown by a VS-side gain < healthy-side gain in 58% (35/60) of the patients. Among the patients with significant gain asymmetry between the two vestibules according to the vHIT (VS-side gain < healthy-side gain), the proportion of patients expressing vestibular symptomatology was significantly greater than that of patients without any symptoms [67% (29/43) vs. 35% (6/17), respectively; p = 0.047]. Conclusions: The SVINT2 can be combined with the vHIT to form an interesting screening tool for revealing vestibular asymmetry. This work revealed the superiority of mastoid stimulation over vertex stimulation for SVINT in patients with unilateral vestibular loss. Full article
(This article belongs to the Special Issue Recent Advances in Audio-Vestibular Medicine)
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10 pages, 1557 KiB  
Article
Blood Pressure Response to the Head-Up Tilt Test in Benign Paroxysmal Positional Vertigo
by Moon-Jung Kim and Guil Rhim
J. Clin. Med. 2023, 12(24), 7725; https://doi.org/10.3390/jcm12247725 - 16 Dec 2023
Viewed by 1063
Abstract
The vestibular organ is involved in controlling blood pressure through vestibulosympathetic reflexes of the autonomic nervous system. This study aimed to investigate the effect of benign paroxysmal positional vertigo (BPPV) on blood pressure control by the autonomic nervous system by observing changes in [...] Read more.
The vestibular organ is involved in controlling blood pressure through vestibulosympathetic reflexes of the autonomic nervous system. This study aimed to investigate the effect of benign paroxysmal positional vertigo (BPPV) on blood pressure control by the autonomic nervous system by observing changes in blood pressure before and after BPPV treatment using the head-up tilt test (HUTT). A total of 278 patients who underwent the HUTT before and after treatment were included. The HUTT measured blood pressure repeatedly on the day of diagnosis and the day of complete recovery, and the results were analyzed using repeated measures analysis of variance. Regarding the difference in the systolic blood pressure of patients with BPPV, the blood pressure at 1, 2, and 3 min in the upright position after complete recovery was significantly lower than before treatment (p = 0.001, p = 0.001, and p = 0.012, respectively). Blood pressure at 1 and 2 min in the diastolic blood pressure of patients with BPPV in the upright position after complete recovery was significantly lower than before treatment (p = 0.001 and p = 0.034, respectively). This study shows that BPPV increases blood pressure during the initial response to standing in the HUTT. Full article
(This article belongs to the Special Issue Recent Advances in Audio-Vestibular Medicine)
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16 pages, 2119 KiB  
Article
The “Near”-Narrowed Internal Auditory Canal Syndrome in Adults: Clinical Aspects, Audio-Vestibular Findings, and Radiological Criteria for Diagnosis
by Eugen C. Ionescu, Pierre Reynard, Samar A. Idriss, Aicha Ltaief-Boudriga, Charles-Alexandre Joly and Hung Thai-Van
J. Clin. Med. 2023, 12(24), 7580; https://doi.org/10.3390/jcm12247580 - 8 Dec 2023
Viewed by 2994
Abstract
Introduction: Vestibular Paroxysmia (VP) refers to short attacks of vertigo, spontaneous or triggered by head movements, and implies the presence of a compressive vascular loop in contact with the cochleovestibular nerve (CVN). Classically, a narrowed internal auditory canal (IAC) corresponds to a diameter [...] Read more.
Introduction: Vestibular Paroxysmia (VP) refers to short attacks of vertigo, spontaneous or triggered by head movements, and implies the presence of a compressive vascular loop in contact with the cochleovestibular nerve (CVN). Classically, a narrowed internal auditory canal (IAC) corresponds to a diameter of less than 2 mm on CT, usually associated with a hypoplastic CVN on MRI. The aim of this study was to discuss a distinct clinical entity mimicking VP in relation to a “near”-narrowed IAC (NNIAC) and to propose radiological criteria for its diagnosis. Methods: Radiological measurements of the IAC were compared between three groups: the study group (SG, subjects with a clinical presentation suggestive of VP, but whose MRI of the inner ear and pontocerebellar angle excluded a compressive vascular loop) and two control groups (adult and children) with normal vestibular evaluations and no history of vertigo. Results: 59 subjects (18 M and 41 F) were included in the SG. The main symptoms of NNIAC were positional vertigo, exercise- or rapid head movements-induced vertigo, and dizziness. The statistical analysis in the study group showed that the threshold values for diagnosis were 3.3 mm (in tomodensitometry) and 2.9 mm (in MRI) in coronal sections of IAC. Although a significantly lower mean value for axial IAC diameter was found in SG compared with controls, the statistics did not reveal a threshold due to the large inter-individual variations in IAC measurements in normal subjects. There was no significant difference in IAC diameter between the adult and pediatric controls. Conclusions: In the present study, we report a new anatomopathological condition that appears to be responsible for a clinical picture very similar—but not identical—to VP in association with the presence of an NNIAC. The diagnosis requires a careful analysis of the IAC’s shape and diameters in both axial and coronal planes. Full article
(This article belongs to the Special Issue Recent Advances in Audio-Vestibular Medicine)
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