AND OBJECTIVES: Masseter vestibular-evoked myogenic potentials (mVEMPs) provide a noninvasive approach for assessing saccular and vestibular nerve function. Although air-conducted stimuli are commonly used, bone-conduction stimulation offers advantages for individuals with conductive hearing loss....
Clinics using or planning to adopt bone-conduction Masseter VEMP testing can reference the norms and reliability data from this study to better interpret results, though local normative data collection is still recommended.
Establishing standardised norms and thresholds for bone-conduction Masseter VEMP fills a critical gap that currently limits consistent clinical use of this emerging vestibular test.
- 01Normative values, test-retest reliability, and thresholds were established for tone burst bone-conduction Masseter VEMP (mVEMP).
- 02mVEMP assesses the saccule and inferior vestibular nerve — structures not well captured by standard VEMP protocols.
- 03Bone conduction delivery may improve access to mVEMP in patients with conductive hearing loss.
- 04Reliability data support the test's repeatability for clinical use.
- 05Study provides a reference standard needed before wider clinical adoption of bone-conduction mVEMP.
Bone conduction tone burst-induced Masseter VEMP testing produces reliable, normative results suitable for saccular and vestibular nerve assessment.
studysupportedDefined threshold and normative values for bone-conduction mVEMP enable better clinical interpretation of test results.
studysupported- PMID
- 42338274
- DOI
- 10.7874/jao.2025.00423.
- Journal
- Journal of Audiology and Otology
- Publication type
- research_article
- Evidence level
- 4
- Population
- Normal-hearing adults without vestibular pathology (normative sample)
- Intervention
- Tone burst-induced Masseter VEMP testing via bone conduction
Primary outcomes
Normative values for bone-conduction mVEMP; Test-retest reliability; Diagnostic thresholds for saccular and vestibular nerve assessment