Radiation-induced otitis media--study of a new test, vestibular-evoked myogenic potential

International Journal of Radiation Oncology, Biology, Physics
Tsung-Lin Yang, Yi-Ho Young

Abstract

Excluding the radiation history, current physical examination and audiovestibular function tests fail to differentiate radiation-induced otitis media (ROM) from chronic otitis media (COM). This study applied the newly developed vestibular-evoked myogenic potential (VEMP) test to investigate whether the VEMP test can be of help in differentiating between them. Fourteen irradiated nasopharyngeal carcinoma (NPC) patients with ROM (18 ears) and 14 age-matched, and gender-matched patients with COM (18 ears) were enrolled. Each patient underwent stimulation with a short tone burst initially, and then by tapping the forehead using a tendon hammer. To define the effect of the neck soft tissue on the VEMP response further, an additional two groups (10 non-NPC patients with ROM but no neck fibrosis/edema and 10 non-NPC patients without ROM but with neck fibrosis/edema) were included for comparison. The occurrence of normal VEMPs in the ROM ears (33%) did not differ significantly from that in the COM ears (56%) by tone-burst stimulation. However, using tapping evocation, most (89%) COM ears revealed normal VEMPs, and most (61%) ROM ears demonstrated delayed VEMPs. Furthermore, most (90%) non-NPC patients with ROM but no neck fibrosis/edem...Continue Reading

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Citations

Aug 11, 2006·Journal of Biomedical Science·Yi-Ho Young
Sep 16, 2006·Current Opinion in Otolaryngology & Head and Neck Surgery·Steven D Rauch
Jul 25, 2012·Journal of the Chinese Medical Association : JCMA·Chin-Lung KuoAn-Suey Shiao
Jan 19, 2010·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·S M RosengrenJ G Colebatch
Jun 25, 2005·Clinical Journal of Oncology Nursing·Wendy H Vogel
Sep 9, 2018·The Laryngoscope·Yi-Ho Young
Jul 4, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Chiao-Sen Yang, Yi-Ho Young
Jul 9, 2005·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Chi-Te Wang, Yi-Ho Young
Feb 16, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Chih-Kai ChuYi-Ho Young
May 7, 2015·The Laryngoscope·Fan-Hsiang Chi, Yi-Ho Young

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