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Effect of drilling on otolithic organ functions in mastoidectomy

Published online by Cambridge University Press:  12 April 2024

Ahmet Taha Karakuzu Open the ORCID record for Ahmet Taha Karakuzu [Opens in a new window] ,
Halil Erdem Özel ,
Hümeyra Temir ,
Fatih Özdoğan ,
Selahattin Genç  and
Sebla Çalışkan
Ahmet Taha Karakuzu*
Affiliation:
Department of Otolaryngology, Kocaeli City Hospital, Kocaeli, Turkey
Halil Erdem Özel
Affiliation:
Department of Otolaryngology, Kocaeli City Hospital, Kocaeli, Turkey
Hümeyra Temir
Affiliation:
Department of Audiology, Kocaeli City Hospital, Kocaeli, Turkey
Fatih Özdoğan
Affiliation:
Department of Otolaryngology, Kocaeli City Hospital, Kocaeli, Turkey
Selahattin Genç
Affiliation:
Department of Otolaryngology, Kocaeli City Hospital, Kocaeli, Turkey
Sebla Çalışkan
Affiliation:
Department of Otolaryngology, Kocaeli City Hospital, Kocaeli, Turkey
*
Corresponding author: Ahmet Taha Karakuzu; Email: [email protected]
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Abstract

Objective

This study aimed to assess the effect of drilling during mastoidectomy on otolithic organ functions and development of benign paroxysmal positional vertigo using objective vestibular tests.

Materials and methods

The study included 45 adult patients diagnosed with chronic otitis media who underwent mastoidectomy with drilling. Pre-operative and post-operative assessments included tests for subjective visual vertical deviation and videonystagmography.

Results

Subjective visual vertical deviation was significantly higher in post-operative periods. On the third day, the subjective visual vertical deviation was at its maximum (1.4 degrees). Post-operatively, benign paroxysmal positional vertigo was detected in 14 patients (31.1 per cent). The most common type was ipsilateral lateral canal benign paroxysmal positional vertigo (57.1 per cent).

Conclusion

The effect of drilling on otolithic organ functions in mastoidectomy seems to be temporary and subclinical; however, it potentially could be a risk factor for the development of benign paroxysmal positional vertigo.

Keywords

Otolithic organsmastoidectomybenign paroxysmal positional vertigobucket testsubjective visual verticalvestibular function tests
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 7 , July 2024 , pp. 803 - 807
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Ahmet Taha Karakuzu takes responsibility for the integrity of the content of the paper

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