Correlation of Superior Canal Dehiscence Surface Area with Vestibular Evoked Myogenic Potentials, Audiometric Thresholds, and Dizziness Handicap

Jacob B. Hunter, Brendan P. O'Connell, Jianing Wang, Srijata Chakravorti, Katie Makowiec, Matthew L. Carlson, Benoit Dawant, Devin L. McCaslin, Jack H. Noble, George B. Wanna

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To correlate objective measures of vestibular and audiometric function as well as subjective measures of dizziness handicap with the surface area of the superior canal dehiscence (SCD). Study Design: Retrospective chart review and radiological analysis. Setting: Single tertiary academic referral center. Patients: Preoperative computed tomography imaging, patient survey, audiometric thresholds, and vestibular evoked myogenic potential (VEMP) testing in patients with confirmed SCD. Intervention(s): Image analysis techniques were developed to measure the surface area of each SCD in computed tomography imaging. Main Outcome Measure(s): Preoperative ocular and cervical VEMPs, air and bone conduction thresholds, air-bone gap, dizziness handicap inventory scores, and surface area of the SCD. Results: Fifty-three patients (mean age 52.7 yr) with 84 SCD were analyzed. The median surface area of dehiscence was 1.44 mm 2 (0.068-8.23 mm 2). Ocular VEMP amplitudes (r = 0.61, p <0.0001), cervical VEMP amplitudes (r = 0.62, p <0.0001), air conduction thresholds at 250 Hz (r = 0.25, p = 0.043), and air-bone gap at 500 Hz (r = 0.27, p = 0.01) positively correlated with increasing size of dehiscence. An inverse relationship between cervical VEMP thresholds (r = -0.56, p < 0.0001) and surface area of the dehiscence was observed. No association between dizziness handicap and surface area was identified. Conclusion: Among patients with confirmed SCD, ocular and cervical VEMP amplitudes, cervical VEMP thresholds, and air conduction thresholds at 250 Hz are significantly correlated with the surface area of the dehiscence.

Original languageEnglish (US)
Pages (from-to)1104-1110
Number of pages7
JournalOtology and Neurotology
Volume37
Issue number8
DOIs
StatePublished - Sep 1 2016

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Vestibular Evoked Myogenic Potentials
Dizziness
Air
Tomography
Bone Conduction
Bone and Bones
Tertiary Care Centers
Retrospective Studies
Outcome Assessment (Health Care)
Equipment and Supplies

Keywords

  • Superior canal dehiscence
  • VEMP
  • Vestibular

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

Cite this

Correlation of Superior Canal Dehiscence Surface Area with Vestibular Evoked Myogenic Potentials, Audiometric Thresholds, and Dizziness Handicap. / Hunter, Jacob B.; O'Connell, Brendan P.; Wang, Jianing; Chakravorti, Srijata; Makowiec, Katie; Carlson, Matthew L.; Dawant, Benoit; McCaslin, Devin L.; Noble, Jack H.; Wanna, George B.

In: Otology and Neurotology, Vol. 37, No. 8, 01.09.2016, p. 1104-1110.

Research output: Contribution to journalArticle

Hunter, JB, O'Connell, BP, Wang, J, Chakravorti, S, Makowiec, K, Carlson, ML, Dawant, B, McCaslin, DL, Noble, JH & Wanna, GB 2016, 'Correlation of Superior Canal Dehiscence Surface Area with Vestibular Evoked Myogenic Potentials, Audiometric Thresholds, and Dizziness Handicap', Otology and Neurotology, vol. 37, no. 8, pp. 1104-1110. https://doi.org/10.1097/MAO.0000000000001126
Hunter, Jacob B. ; O'Connell, Brendan P. ; Wang, Jianing ; Chakravorti, Srijata ; Makowiec, Katie ; Carlson, Matthew L. ; Dawant, Benoit ; McCaslin, Devin L. ; Noble, Jack H. ; Wanna, George B. / Correlation of Superior Canal Dehiscence Surface Area with Vestibular Evoked Myogenic Potentials, Audiometric Thresholds, and Dizziness Handicap. In: Otology and Neurotology. 2016 ; Vol. 37, No. 8. pp. 1104-1110.
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AU - Wang, Jianing

AU - Chakravorti, Srijata

AU - Makowiec, Katie

AU - Carlson, Matthew L.

AU - Dawant, Benoit

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