Hostname: page-component-6587cd75c8-gglxz Total loading time: 0.001 Render date: 2025-04-24T06:18:04.861Z Has data issue: false hasContentIssue false
  • English
  • Français

Long-term vestibular effects of blast trauma

Published online by Cambridge University Press:  22 October 2024

Akın Ocal F Ceyda Open the ORCID record for Akın Ocal F Ceyda [Opens in a new window] ,
Satar Bulent  and
Erbek Selim Sermed
Akın Ocal F Ceyda*
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences Gulhane Training and Research Hospital, Ankara, Turkey
Satar Bulent
Affiliation:
Department of Otorhinolaryngology, University of Health Sciences, Gulhane Faculty of Medicine, Ankara, Turkey
Erbek Selim Sermed
Affiliation:
Private Otology Clinic, Beştepe, Ankara, Turkey
*
Corresponding author: Akın Ocal F Ceyda; Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectıve

In this study, the presence of dizziness in the late period was investigated in patients working in the Armed Forces who were exposed to blast trauma with a test battery consisting of cervical and ocular vestibular-evoked myogenic potentials and the Dizziness Handicap Inventory.

Methods

Twenty-two healthy adult volunteers (44 healthy ears) and 25 military personnel (43 patient ears) who had blast trauma were included in the study. The cervical and ocular vestibular-evoked myogenic potential tests were applied to the control and patient groups. The patient group also filled in the Dizziness Handicap Inventory.

Results

The mean score of the Dizziness Handicap Inventory of the patient group was 14.80 ± 23.38. In cervical and ocular vestibular-evoked myogenic potential tests there was no significant difference in the comparison of P1 latency, N1 latency and P1N1 amplitude between control and patient groups.

Conclusıon

It was observed that the functions of otolith organs were not affected in the late period after blast trauma.

Keywords

hearing lossvestibular-evoked myogenic potentialsdizziness
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 9
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Akın Ocal F Ceyda takes responsibility for the integrity of the content of the paper

References

Cave, KM, Cornish, EM, Chandler, DW. Blast injury of the ear: clinical update from the global war on terror. Mil Med 2007;172:726–30Google Scholar
Garth, RJ. Blast injury of the auditory system: a review of the mechanisms and pathology. J Laryngol Otol 1994;108:925–9Google Scholar
Choi, CH. Mechanisms and treatment of blast induced hearing loss. Korean J Audiol 2012;16:103–7Google Scholar
Patterson, JH Jr, Hamernik, RP. Blast overpressure induced structural and functional changes in the auditory system. Toxicology 1997;121: 29–40Google Scholar
Fife, TD, Colebatch, JG, Kerber, KA, Brantberg, K, Strupp, M, Lee, H et al. Practice guideline: cervical and ocular vestibular evoked myogenic potential testing: report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2017;89:2288–96Google Scholar
McCabe, BF, Lawrence, M. The effects of intense sound on the non-auditory labyrinth. Acta Otolaryngol 1958;49:147–57Google Scholar
Mangabeira-Albernaz, PL, Covell, WP, Eldredge, DH. Changes in the vestilbular labyrinth with intense sound. Laryngoscope 1959;69:1478–93Google Scholar
Jacobson, GP, Newman, CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990;116:424–7Google Scholar
Canbal, M, Cebeci, S, Duyan, GÇ, Kurtaran, H, Arslan, İ. Baş Dönmesi Engellilik Envanterinin Türkçe Geçerlilik ve Güvenilirlik Çalışması. TJFM&PC 2016;10:19–24Google Scholar
de Régloix S, Ballivet, Crambert, A, Maurin, O, Lisan, Q, Marty, S, Pons, Y. Blast injury of the ear by massive explosion: a review of 41 cases. J R Army Med Corps 2017;163:333–8Google Scholar
Lee, JS, Lee, SK, Shin, IH, Yeo, SG, Park, MS, Byun, JY. Vestibular evoked myogenic potential according to middle ear condition in chronic otitis media with tympanic membrane perforation. Acta Otolaryngol 2014;134:34–40Google Scholar
Felipe, L, Kingma, H. Ocular vestibular evoked myogenic potentials. Int Arch Otorhinolaryngol 2014;18:77–9Google Scholar
Erbek, S, Gokmen, Z, Ozkiraz, S, Erbek, SS, Tarcan, A, Ozluoglu, LN. Vestibular evoked myogenic potentials in preterm infants. Audiol Neurootol 2009;14:1–6Google Scholar
Elberling, C, Callø, J, Don, M. Evaluating auditory brainstem responses to different chirp stimuli at three levels of stimulation. J Acoust Soc Am 2010;128:215–23Google Scholar
Atcherson, SR, Moore, PC. Are chirps better than clicks and tonebursts for evoking middle latency responses? J Am Acad Audiol 2014;25:576–83Google Scholar
Darley, DS, Kellman, RM. Otologic considerations of blast injury. Disaster Med Public Health Prep 2010;4:145–52Google Scholar
Remenschneider, AK, Lookabaugh, S, Aliphas, A, Brodsky, JR, Devaiah, AK, Dagher, W et al. Otologic outcomes after blast injury: the Boston Marathon experience. Otol Neurotol 2014;35:1825–34Google Scholar
Scherer, MR, Burrows, H, Pinto, R, Littlefield, P, French, LM, Tarbett, AK et al. Evidence of central and peripheral vestibular pathology in blast-related traumatic brain injury. Otol Neurotol 2011;32:571–80Google Scholar
Liao, YH, Young, YH. Inner ear damage by firecracker trauma. Audiol Neurootol 2018;23:116–21Google Scholar
Cohen, JT, Ziv, G, Bloom, J, Zikk, D, Rapoport, Y, Himmelfarb, MZ. Blast injury of the ear in a confined space explosion: auditory and vestibular evaluation. Isr Med Assoc J 2002;4:559–62Google Scholar
Shah, A, Ayala, M, Capra, G, Fox, D, Hoffer, M. Otologic assessment of blast and nonblast injury in returning Middle East-deployed service members. Laryngoscope 2014;124:272–7Google Scholar