To investigate if the subjective visual vertical/horizontal (SVV/SVH) can be used to evaluate the otolith organ of otosclerosis and stapedotomy.
✦ The floor
Discussion
Signed responses from readers of the wire.
SVV/SVH measurement appears to be a feasible tool for monitoring otolith organ function perioperatively in otosclerosis patients undergoing stapedotomy, but independent replication in larger samples is needed before it should alter routine vestibular assessment protocols.
Adding a simple, non-invasive SVV test to stapedotomy evaluations could help clinicians detect subtle vestibular changes that current standard hearing assessments miss.
- 01SVV/SVH testing was used to assess otolith organ function in otosclerosis patients pre- and post-stapedotomy.
- 02Otosclerosis can affect not just hearing but also the vestibular (balance) system via otolith organ involvement.
- 03Stapedotomy is a middle-ear surgical procedure that replaces the fixed stapes bone with a small prosthesis.
- 04The study supports SVV as a practical, non-invasive vestibular screening tool in this surgical population.
- 05Findings suggest the otolith organs may be affected by otosclerosis and monitored through perceptual balance tests.
Subjective Visual Vertical measurement can effectively evaluate otolith organ function in otosclerosis patients before and after stapedotomy.
studypartially supportedOtosclerosis affects otolith organ function, detectable via SVV/SVH testing.
studypartially supported- PMID
- 42500103
- DOI
- 10.1002/wjo2.70059.
- Journal
- World Journal of Otorhinolaryngology–Head and Neck Surgery
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients with otosclerosis undergoing stapedotomy
- Intervention
- Subjective Visual Vertical/Horizontal (SVV/SVH) measurement pre- and post-stapedotomy
Primary outcomes
Otolith organ function as measured by SVV/SVH deviation before and after stapedotomy