{"title":"Impact of nasal septum deviation on the sphenoid bone pneumatization: a retrospective computed tomography study.","authors":"Jiajun Tang, Jie Hou, Yanshu Zhang, Xin Dou, Handong Wang, Xianmei Wei, Xinyan Cui, Zhengrong Xu, Chenjie Yu","doi":"10.1080/00016489.2025.2455761","DOIUrl":"https://doi.org/10.1080/00016489.2025.2455761","url":null,"abstract":"<p><strong>Background: </strong>Deviated nasal septum (DNS) changes aerodynamic airflow pattern and increases nasal resistance that may affect paranasal sinus pneumatization.</p><p><strong>Objectives: </strong>To explore the relationships among DNS, sphenoid bone pneumatization and surrounding neurovascular structures.</p><p><strong>Material and methods: </strong>The paranasal sinus CT images of DNS patients (<i>n</i> = 100) and patients without DNS (<i>n</i> = 60) between 2020 and 2022 were retrospectively analyzed. Sphenoid bone pneumatization and anterior clinoid processes (ACP) length were measured while surrounding neurovascular structure types were assessed.</p><p><strong>Results: </strong>In the DNS group, the indicators demonstrating sphenoid bone pneumatization were significantly (<i>p</i> < 0.001) greater than that in the control group. There were no statistically significant differences in the indicators demonstrating the positions of vidian canal (VC) and foramen rotundum (FR) between two groups. Regarding proportion of different neurovascular structure grades, the findings were significant (<i>p</i> < 0.05) between two groups. The corrected sphenoid sinus area also correlated with surrounding neurovascular structure types.</p><p><strong>Conclusions and significance: </strong>Severe DNS is significantly related to the sphenoid bone pneumatization and surrounding neurovascular structure. This suggests that clinicians should be aware of the anatomical variation of sphenoid bone pneumatization and the cranial base structures in DNS patients.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Features and prognostic factors in pediatric deep neck infections: a retrospective study.","authors":"Zehra Betül Paksoy, Melih Cayonu, Ali Demir","doi":"10.1080/00016489.2025.2458738","DOIUrl":"https://doi.org/10.1080/00016489.2025.2458738","url":null,"abstract":"<p><strong>Background: </strong>Pediatric deep neck abscesses (PDNAs) are uncommon but can cause serious complications. Despite advances in diagnostics and antibiotic therapies, effective PDNA management remains challenging, necessitating prompt diagnosis and targeted treatment.</p><p><strong>Objectives: </strong>This study evaluated the clinical characteristics, treatment approaches, and factors affecting hospital stay in pediatric patients with PDNAs. Associations between laboratory markers (hemoglobin, albumin, inflammatory indices) and abscess characteristics with clinical outcomes were analyzed.</p><p><strong>Methods: </strong>A retrospective review of 72 PDNA cases at Ankara Bilkent City Hospital (2019-2024) was performed. Clinical presentation, laboratory findings (hemoglobin, albumin), abscess size, and inflammatory indices (SII, NLR, SIRI) were analyzed.</p><p><strong>Results: </strong>The mean age was 6.69 years, with 51.38% under six. Peritonsillar abscesses were the most common (40.3%), followed by retropharyngeal abscesses. Antibiotic therapy alone was successful in 33.3% of cases, while 66.7% required surgical drainage. Prolonged hospitalization was associated with low hemoglobin (<i>p</i> = .003) and albumin (<i>p</i> = .034), larger abscess size (<i>p</i> = .047), and elevated inflammatory markers (SIRI: <i>p</i> = .007, SII: <i>p</i> = .015).</p><p><strong>Conclusions and significance: </strong>Prognostic factors such as hemoglobin, albumin, and inflammatory indices is essential in PDNA management. Surgical intervention plays a key role in severe cases, emphasizing the need for standardized protocols.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2024-12-30DOI: 10.1080/00016489.2024.2445025
Alexandra Schindele, Anna Holm, Sofie Kraft, Karin Nylander, Annika Allard, Katarina Olofsson
{"title":"Cross-evaluating Epstein-Barr virus, human papilloma virus, human cytomegalovirus and human adenovirus in nasal polyps and turbinate mucosa.","authors":"Alexandra Schindele, Anna Holm, Sofie Kraft, Karin Nylander, Annika Allard, Katarina Olofsson","doi":"10.1080/00016489.2024.2445025","DOIUrl":"10.1080/00016489.2024.2445025","url":null,"abstract":"<p><strong>Background: </strong>Chronic rhinosinusitis with nasal polyps (CRSwNP) is a common disease in which inflammatory responses to exogenic stressors, such as viral infections, has been recognised. The role of viruses in CRSwNP pathogenesis is unclear.</p><p><strong>Aims/objectives: </strong>We aimed to characterise Epstein-Barr virus (EBV), human papillomavirus (HPV), human cytomegalovirus (HCMV), and human adenovirus (HAdV) in nasal polyps and adjacent paired healthy turbinate mucosa.</p><p><strong>Materials and methods: </strong>We used real-time PCR for EBV, HCMV, and HAdV DNA detection, combined PCR/microarrays for HPV detection and genotyping, in samples from 45 patients with CRSwNP. Additionally, we used EBER in situ hybridisation for EBV detection.</p><p><strong>Results: </strong>EBV detection with EBER-ISH was significantly higher in polyps (36%) versus turbinate mucosa (12%). None of the viral comparisons with PCR between polyps and turbinate mucosa for EBV-, HCMV- or HAdV-DNA showed statistically significant differences. All samples were HPV negative.</p><p><strong>Conclusions and significance: </strong>We report higher expression of EBV in nasal polyps (36%) than in adjacent healthy turbinate mucosa (12%), using a valid method; EBER-ISH in 45 patients with CRSwNP. EBV might be a possible stressor that can trigger polypoid inflammation.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":"145 2","pages":"164-167"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2025-01-29DOI: 10.1080/00016489.2025.2449709
Iriana Maharani, Loeki Enggar Fitri, Susanthy Djajalaksana, Edi Handoko
{"title":"Identification of Transforming Growth Factor-β1 in the nasal polyp tissue of chronic rhinosinusitis: a comprehensive analysis.","authors":"Iriana Maharani, Loeki Enggar Fitri, Susanthy Djajalaksana, Edi Handoko","doi":"10.1080/00016489.2025.2449709","DOIUrl":"10.1080/00016489.2025.2449709","url":null,"abstract":"<p><strong>Background: </strong>Chronic Transforming Growth Factor Beta 1 (TGF-β1) plays a critical role in tissue remodelling and immunological modulation, which may contribute to the severity and recurrence of Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). Despite extensive research on CRSwNP, the exact role and pathological significance of TGF-β1 in CRSwNP remain poorly understood due to inconsistencies in study methodologies and findings.</p><p><strong>Aims/objectives: </strong>To resolve discrepancies in the literature, this systematic review compares the levels of TGF-β1 in CRSwNP tissue to controls and Chronic Rhinosinusitis without Nasal Polyps (CRSsNP).</p><p><strong>Material and methods: </strong>A comprehensive literature search was conducted across databases such as PubMed, ScienceDirect, and Cochrane Library. Studies assessing TGF-β1 levels in the tissue through various methods were systematically reviewed. Data were extracted on TGF-β1 levels, methodological approaches, and clinical correlations.</p><p><strong>Results: </strong>The review indicates that TGF-β1 levels were highly variable in controls, elevated in CRSsNP, and broadly ranged in CRSwNP with generally lower levels compared to CRSsNP, placing controls between CRSwNP and CRSsNP.</p><p><strong>Conclusions and significance: </strong>Elevated TGF-β1 in CRSsNP points to its significant role in fibrosis and tissue remodeling, which could inform targeted therapeutic approaches and improve management strategies for chronic rhinosinusitis.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"168-175"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143062342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2025-01-13DOI: 10.1080/00016489.2024.2449252
Seok Min Hong, Sang Hoon Kim, Jae Yong Byun, Seung Geun Yeo
{"title":"Therapeutic efficacy of canalith reposition maneuver according to the determination method of lesion side in patients with persistent geotropic direction-changing positional nystagmus.","authors":"Seok Min Hong, Sang Hoon Kim, Jae Yong Byun, Seung Geun Yeo","doi":"10.1080/00016489.2024.2449252","DOIUrl":"10.1080/00016489.2024.2449252","url":null,"abstract":"<p><strong>Background: </strong>The Canalith Repositioning Maneuver (CRM) is often ineffective for persistent geotropic direction-changing positional nystagmus (DCPN). In these cases, determining the lesion side can be challenging, as the null plane side and the side with stronger nystagmus on the roll test are frequently opposite.</p><p><strong>Objectives: </strong>This study investigates whether the low therapeutic efficacy of CRM in persistent DCPN could be attributed to incorrect determination of the lesion side.</p><p><strong>Material and methods: </strong>This prospective randomized trial involved two groups of patients with persistent geotropic DCPN, categorized based on the method used to determine the lesion side: the null plane side and the side with stronger nystagmus on the head roll test. We assessed the therapeutic efficacy of CRM on the null plane side (null plane group) and the side with stronger nystagmus on the head roll test (stronger nystagmus group).</p><p><strong>Results: </strong>Both groups showed minimal or no immediate therapeutic effect of CRM, with a low short-term effect observed in both as well. No significant differences were found in the immediate and short-term therapeutic effects of CRM between the two groups.</p><p><strong>Conclusions and significance: </strong>The limited therapeutic effect of CRM in persistent geotropic DCPN does not appear to result from incorrect determination of the lesion side.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"140-143"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2025-01-15DOI: 10.1080/00016489.2024.2447564
Kristi Kaveri Dutta, Anjana Rajesh, C S Vanaja
{"title":"Can switching stimulus polarity identify Meniere's disease? A preliminary investigation on ABR.","authors":"Kristi Kaveri Dutta, Anjana Rajesh, C S Vanaja","doi":"10.1080/00016489.2024.2447564","DOIUrl":"10.1080/00016489.2024.2447564","url":null,"abstract":"<p><strong>Background: </strong>Meniere's disease (MD) affects 0.2% to 0.5% of the global population, with regional variations. Standard diagnostic methods, including the glycerol test and EcochG, show variable sensitivity and specificity, highlighting the need for more reliable diagnostic approaches.</p><p><strong>Objective: </strong>This study aims to investigate latency differences in wave V of the Auditory Brainstem Response (ABR) by comparing waveforms for rarefaction and condensation clicks to identify MD.</p><p><strong>Materials and methods: </strong>The study analyzed latency differences in wave V of the ABR using condensation and rarefaction clicks in 15 ears diagnosed with MD. The control groups included 10 ears with sensorineural hearing loss (SNHL) [non-MD ears] and 20 ears with normal hearing sensitivity.</p><p><strong>Results: </strong>MD patients exhibited a significant wave V latency shift between rarefaction and condensation stimuli, suggesting altered cochlear dynamics due to endolymphatic hydrops. No such shift was observed in normal hearing or SNHL ears. Patients with definite MD showed a greater latency difference than those with probable MD, possibly reflecting varying endolymphatic pressure.</p><p><strong>Discussion: </strong>These findings suggest that ABR testing with opposite polarity stimuli could serve as an adjunctive diagnostic tool for MD, particularly in differentiating the severity of the condition but further research is needed to validate these preliminary.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"156-163"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2025-01-17DOI: 10.1080/00016489.2025.2451092
Oguz Kuscu, Enes Dogan, Erim Pamuk
{"title":"Transoral robotic surgery in otolaryngology practice: a single institutional experience.","authors":"Oguz Kuscu, Enes Dogan, Erim Pamuk","doi":"10.1080/00016489.2025.2451092","DOIUrl":"10.1080/00016489.2025.2451092","url":null,"abstract":"<p><strong>Background: </strong>Transoral robotic surgery (TORS) has emerged as a minimally invasive technique for managing head and neck pathologies, offering reduced morbidity and improved surgical precision. Despite its growing popularity, institutional experiences with TORS remain limited.</p><p><strong>Objectives: </strong>This study aimed to evaluate the outcomes of TORS for oncological and obstructive sleep apnoea syndrome (OSAS) cases, focusing on efficacy, safety and complications.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 61 patients who underwent TORS at a single institution between 2018 and 2024. Demographic, surgical and postoperative data were collected, including histopathological findings, complications and hospitalization duration. Statistical analyses were performed using SPSS software (SPSS, Chicago, IL, USA), with significance set at <i>p</i> < .05.</p><p><strong>Results: </strong>Of the 61 patients, 67.2% were male, with a mean age of 57.25 years. TORS was performed for oncological purposes in 72.1% of cases and OSAS in 27.9%. The most common surgical procedure was base-of-tongue resection (42.6%). Postoperative bleeding occurred in 11.4% of cases, all oncological, with two mortalities due to haemorrhage. Hospital readmission within 30 days occurred in 13.1% of patients. OSAS cases demonstrated shorter hospital stays and lower complication rates than oncological cases.</p><p><strong>Conclusions: </strong>TORS is a safe and effective technique for both oncological and OSAS cases, offering significant benefits in reducing morbidity. However, complications, particularly bleeding in oncological cases, remain a challenge, highlighting the need for careful patient selection and perioperative management.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"181-185"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2024-12-30DOI: 10.1080/00016489.2024.2445746
Burak Hazır, Çetin Şahutoğlu, Mustafa Çolak, Ağah Yeniçeri, Nagihan Gülhan Yaşar, Aykut İkincioğulları, Hacı Hüseyin Dere
{"title":"Audiological outcomes and their association with quality of life in patients undergoing stapedotomy.","authors":"Burak Hazır, Çetin Şahutoğlu, Mustafa Çolak, Ağah Yeniçeri, Nagihan Gülhan Yaşar, Aykut İkincioğulları, Hacı Hüseyin Dere","doi":"10.1080/00016489.2024.2445746","DOIUrl":"10.1080/00016489.2024.2445746","url":null,"abstract":"<p><strong>Background: </strong>Some preoperative and postoperative audiological outcomes may be associated with quality of life (QoL) in stapedotomy patients.</p><p><strong>Aims: </strong>The aim of this study is to determine which frequencies and conduction pathways improve following this surgery and to assess their effects on QoL.</p><p><strong>Material and methods: </strong>Cases who underwent small fenestra stapedotomy were retrospectively reviewed. Preoperative and postoperative pure tone audiometry were evaluated. The Glasgow Benefit Inventory (GBI) questionnaire was also administered to assess the impact of the operation on their QoL. The relationship between audiologic results and QoL was also examined.</p><p><strong>Results: </strong>A total of 45 ears from 41 patients were included in the study. There is a statistically significant improvement in postoperative mean air conduction (AC), bone conduction (BC) and air-bone gap (ABG) values compared to preoperative values (<i>p</i> < .001). A significant moderate correlation was found between preoperative mean ABG and GBI scores, and between postoperative improvements in AC thresholds and ABG at all frequencies (500, 1,000, 2,000 and 4,000 Hz) and GBI scores (0.3<<i>r</i> < 0.7, <i>p</i> < .05). Among the postoperative BC thresholds, only the improvement at 2,000 Hz was found to have an effect on the GBI score (<i>r</i> = .309, <i>p</i> = .049).</p><p><strong>Conclusions and significance: </strong>Audiological outcomes following stapedotomy had an impact on QoL. Preoperative ABG can be used as an indicator of postoperative QOL.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":"145 2","pages":"128-133"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2025-01-11DOI: 10.1080/00016489.2024.2448823
Henrik M Sjöblom, Jenny C Knubb, Tommi Kauko, Jaakko Pulkkinen, Jaakko M Piitulainen
{"title":"Incidence of adult tonsillectomy for hypertrophic indications in Southwest Finland.","authors":"Henrik M Sjöblom, Jenny C Knubb, Tommi Kauko, Jaakko Pulkkinen, Jaakko M Piitulainen","doi":"10.1080/00016489.2024.2448823","DOIUrl":"10.1080/00016489.2024.2448823","url":null,"abstract":"<p><strong>Background: </strong>Large palatine tonsils cause a variety of symptoms including obstructive sleep apnea and snoring. In adults, the prevalence of tonsillar hypertrophy remains uncertain.</p><p><strong>Aims: </strong>We estimated the incidence of tonsillectomy for adult palatine tonsillar hypertrophy using population data and retrospective patient charts.</p><p><strong>Material and methods: </strong>Patient data were retrospectively collected between 2004 and 2018 in the Hospital District of Southwest Finland. Adult patients with tonsil hypertrophy, obstructive sleep apnea or mouth breathing/snoring as an indication for surgery were included. Data were verified from patient charts. To determine in adults the incidence of tonsillectomy for tonsillar hypertrophy, the number of surgeries was compared to population data.</p><p><strong>Results: </strong>The incidence of tonsillectomy for adult tonsillar hypertrophy was 8.49 per 100000 person-years. In our hospital district, 9.5% of adults who underwent tonsil surgery had tonsillar hypertrophy. The incidence rate reduced with age. The most common indication for surgery of hypertrophic tonsils was snoring (30.8%). In this study, 12.7% of patients with asymmetric tonsils had malignancy with the most common being lymphoma.</p><p><strong>Conclusions and significance: </strong>Symptomatic adult tonsil hypertrophy remains rare. In adults, tonsil asymmetry should invoke a suspicion of lymphoma. Even during adulthood, as age increases, tonsillar hypertrophy becomes less common.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"176-180"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Oto-LaryngologicaPub Date : 2025-02-01Epub Date: 2025-01-15DOI: 10.1080/00016489.2025.2450222
Ping Guo, Fenghua Qin, Lei Ye, Huawei Li, Wenyan Li
{"title":"The role of audiological features and horizontal semicircular canal function at various frequencies in vestibular migraine and Menière's disease.","authors":"Ping Guo, Fenghua Qin, Lei Ye, Huawei Li, Wenyan Li","doi":"10.1080/00016489.2025.2450222","DOIUrl":"10.1080/00016489.2025.2450222","url":null,"abstract":"<p><strong>Background: </strong>Vestibular migraine (VM) and Menière's disease (MD) have numerous overlapping symptoms. Distinguishing the two common recurrent vestibulopathies was challenging.</p><p><strong>Objectives: </strong>To assess the characteristics of hearing loss and the horizontal semicircular canal function in VM and MD.</p><p><strong>Materials and methods: </strong>Various frequency horizontal semicircular canal function tests, including caloric test, video head impulse test (vHIT), and rotatory chair test, as well as multifrequency audiological test with pure-tone average (PTA), were carried out.</p><p><strong>Results: </strong>The hearing threshold of all frequencies in VM is lower than that of MD (<i>p</i> < .05). The phase shift at 0.01 Hz, 0.02 Hz, 0.04 Hz, 0.08 Hz and 0.64 Hz was significantly different in VM and MD patients. The gain at 0.01 Hz differed between VM and MD (<i>p</i> < .05); the time constant (RTc) in VM patients was longer than that of MD patients (<i>p</i> < .05). The incidence of caloric test abnormality was 40% in VM patients and 68.3% in MD patients. The abnormal rate of horizontal semicircular canal vHIT was 3.2% in VM and 5.8% in the MD, and the rates of overt/cover saccades were 9.7% and 17.6%, respectively.</p><p><strong>Conclusions: </strong>The degree and type of hearing loss were conducive to distinguishing between VM and MD, and the rotatory chair test was a necessary supplement.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"115-122"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}