Vestibular-evoked myogenic potentials before and after dental implant surgery

Year 2015, Volume: 25 Issue: 6, 337 - 342, 30.12.2015

Eltaf Ayça Özbal Koç Kağan Deniz Hatice Seyra Erbek

Abstract

Objectives: This study aims to examine the effects of dental implant surgery on vestibular-evoked myogenic potential VEMP responses. Patients and Methods: Between October 2012 and October 2014, a total of 60 consecutive patients undergoing dental implant surgery at Başkent University Hospital, Department of Otorhinolaryngology were included in the study. The control group consisted of 40 healthy subjects undergoing routine clinical examination. The VEMP response was evaluated at baseline, second and seventh days. Positional tests and DixHallpike testing for vertigo were performed at baseline, second and seventh days. Results: Hundred-eight dental implants were placed in 60 patients. There was no significant difference in the p1 and n1 latencies in the control group at baseline, second day, and seventh day p>0.05 . However, there was a significant increase at the second day for p1 latencies in the study group, compared to the baseline and seventh day p=0.038 . There was a significant increase at the second day for n1 compared to the baseline p=0.016 and seventh day in the study group p=0.005 . There was a significant increase at the seventh day for n1 compared to the baseline in the study group p=0.016 . Conclusion: The present study revealed a significant difference in the cervical VEMP response on the second postoperative day for p1 and n1 latencies compared to the baseline and seventh postoperative day in dental implantation patients. Dental implant patients should be informed of such possible temporary problems as dizziness and vestibular problems.

Keywords

Dental implant surgery, dental prosthesis, vestibular-evoked myogenic potential

Dental implant cerrahisinden önce ve sonra vestibüler uyarılmış miyojenik potansiyeller

Abstract

Amaç: Bu çalışmada dental implant cerrahisinin vestibüler uyarılmış miyojenik potansiyel VEMP yanıtları üzerindeki etkileri değerlendirildi.Hastalar ve Yöntemler: Ekim 2012 - Ekim 2014 tarihleri arasında, Başkent Üniversitesi Hastanesi, Kulak Burun Boğaz Anabilim Dalı’nda dental implant cerrahisi yapılan toplam ardışık 60 hasta çalışmaya alındı. Kontrol grubu, rutin klinik muayene yapılan 40 sağlıklı kişiden oluşuyordu. Vestibüler uyarılmış miyojenik potansiyel yanıtı başlangıçta, ikinci ve yedinci günlerde değerlendirildi. Pozisyonel testler ve Dix-Hallpike vertigo testi başlangıçta, ikinci ve yedinci günlerde yapıldı.Bulgular: Altmış hastaya 108 dental implant uygulandı. Başlangıçta, ikinci günde ve yedinci günde kontrol grubunda p1 ve n1 latens açısından anlamlı bir fark gözlenmedi p>0.05 . Ancak, çalışma grubunda başlangıca ve yedinci güne kıyasla, ikinci günde p1 latensi açısından anlamlı bir artış izlendi p=0.038 . Başlangıca p=0.016 ve yedinci güne kıyasla p=0.005 , ikinci günde çalışma grubunda n1 açısından anlamlı bir artış gözlendi. Çalışma grubunda başlangıca kıyasla yedinci günde n1 açısından anlamlı bir artış gözlendi p=0.016 .Sonuç: Bu çalışma diş implantı yapılan hastaların servikal VEMP yanıtı olarak p1 ve n1 değerlerinin ameliyat sonrası ikinci günde başlangıca ve yedinci güne oranla anlamlı yüksek olduğunu göstermektedir. Diş implantı yapılacak hastaların baş dönmesi ve vestibüler sorunlar gibi olası geçici sorunlardan haberdar edilmeleri önerilmektedir

Keywords

Dental implant cerrahisi, diş protezi, vestibüler uyarılmış miyojenik potansiyeller

References

• Anitua E. Ensanchamiento de cresta en el maxilar superior para la colocación de implantes: técnica de los osteotomos. Actual. Implantol 1995;7:65-72.
• Moy PK, Lundgren S, Holmes RE. Maxillary sinus augmentation: histomorphometric analysis of graft materials for maxillary sinus floor augmentation. J Oral Maxillofac Surg 1993;51:857-62.
• Tribukait A, Brantberg K, Bergenius J. Function of semicircular canals, utricles and saccules in deaf children. Acta Otolaryngol 2004;124:41-8.
• Valente M. Maturational effects of the vestibular system: a study of rotary chair, computerized dynamic posturography, and vestibular evoked myogenic potentials with children. J Am Acad Audiol 2007;18:461-81.
• Picciotti PM, Fiorita A, Di Nardo W, Calò L, Scarano E, Paludetti G. Vestibular evoked myogenic potentials in children. Int J Pediatr Otorhinolaryngol 2007;71:29-33.
• Welgampola MS, Colebatch JG. Characteristics and clinical applications of vestibular-evoked myogenic potentials. Neurology 2005;64:1682-8.
• Shea JJ Jr, Ge X, Orchik DJ. Traumatic endolymphatic hydrops. J Otol 1995;16:235-40.
• Benecke JE. Surgery for non-Menière's vertigo. Acta Otolaryngol Suppl 1994;513:37-9.
• Colebatch JG, Halmagyi GM. Vestibular evoked potentials in human neck muscles before and after unilateral vestibular deafferentation. Neurology 1992;42:1635-6.
• Akkuzu G, Akkuzu B, Ozluoglu LN. Vestibular evoked myogenic potentials in benign paroxysmal positional vertigo and Meniere's disease. Eur Arch Otorhinolaryngol 2006;263:510-7.
• Kim HA, Hong JH, Lee H, Yi HA, Lee SR, Lee SY, et al. Otolith dysfunction in vestibular neuritis: recovery pattern and a predictor of symptom recovery. Neurology 2008;70:449-53.
• Hong SM, Park DC, Yeo SG, Cha CI. Vestibular evoked myogenic potentials in patients with benign paroxysmal positional vertigo involving each semicircular canal. Am J Otolaryngol 2008;29:184-7.
• Eryaman E, Oz ID, Ozker BY, Erbek S, Erbek SS. Evaluation of vestibular evoked myogenic potentials during benign paroxysmal positional vertigo attacks; neuroepithelial degeneration? B-ENT 2012;8:247-50.
• Yang WS, Kim SH, Lee JD, Lee WS. Clinical significance of vestibular evoked myogenic potentials in benign paroxysmal positional vertigo. Otol Neurotol 2008;29:1162-6.
• Kim MS, Lee JK, Chang BS, Um HS. Benign paroxysmal positional vertigo as a complication of sinus floor elevation. J Periodontal Implant Sci 2010;40:86-9.
• Su GN, Tai PW, Su PT, Chien HH. Protracted benign paroxysmal positional vertigo following osteotome sinus floor elevation: a case report. Int J Oral Maxillofac Implants 2008;23:955-9.
• Peñarrocha M, Garcia A. Benign paroxysmal positional vertigo as a complication of interventions with osteotome and mallet. J Oral Maxillofac Surg 2006;64:1324.
• Saker M, Ogle O. Benign paroxysmal positional vertigo subsequent to sinus lift via closed technique. J Oral Maxillofac Surg 2005;63:1385-7.
• Summers RB. The osteotome technique: Part 3--Less invasive methods of elevating the sinus floor. Compendium 1994;15:698.
• Peñarrocha-Diago M, Rambla-Ferrer J, Perez V, Pérez- Garrigues H. Benign paroxysmal vertigo secondary to placement of maxillary implants using the alveolar expansion technique with osteotomes: a study of 4 cases. Int J Oral Maxillofac Implants 2008;23:129-32.
• Di Girolamo M, Napolitano B, Arullani CA, Bruno E, Di Girolamo S. Paroxysmal positional vertigo as a complication of osteotome sinus floor elevation. Eur Arch Otorhinolaryngol 2005;262:631-3.
• Sammartino G, Mariniello M, Scaravilli MS.
• Benign paroxysmal positional vertigo following closed sinus floor elevation procedure: mallet osteotomes vs. screwable osteotomes. A triple blind randomized controlled trial. Clin Oral Implants Res 2011;22:669-72.
• Vernamonte S, Mauro V, Vernamonte S, Messina AM. An unusual complication of osteotome sinus floor elevation: benign paroxysmal positional vertigo. Int J Oral Maxillofac Surg 2011;40:216-8.
• Wanner L, Manegold-Brauer G, Brauer HU. Review of unusual intraoperative and postoperative complications associated with endosseous implant placement. Quintessence Int 2013;44:773-81.