Association Between Chronic Rhinosinusitis and The Vestibular System

Yıl 2019, Cilt: 9 Sayı: 2, 133 - 137, 08.08.2019

Kadri İla Emre Söylemez Nihat Yılmaz Adrien A. Eshraghi

https://doi.org/10.32448/entupdates.587285

Öz

Objective: Objective: Chronic rhinosinusitis (CRS) is inflammation of the nasal mucosa and paranasal sinuses. Subjective complaint of dizziness can be observed in patients with CRS. However, a review of the literature did not reveal any prospective studies that have used videonystagmography (VNG) to examine the vestibular system of patients with CRS. The goal of this study is the evaluation of the vestibular system of CRS patients.

Methods: The study comprised 30 patients with CRS and 30 control subjects. The vestibular system was evaluated through VNG. The association with vestibular function was evaluated according to the Lund-Mackay score, the Sino-Nasal Outcome Test-22 (SNOT-22) score, and the existence of nasal polyps.

Results: Abnormal caloric test results were observed in eight (26.6%) of the 30 CRS patients. The caloric test results were normal for the control group. The oculomotor test results with VNG were normal for the CRS and control groups. The abnormal caloric results were higher for the CRS with nasal polyp patients than for the CRS without nasal polyp patients. The VNG showed no correlation among the SNOT-22 scores and the Lund-Mackay scores in patients with CRS.

Conclusion: Abnormal caloric responses can be observed in patients with CRS with nasal polyps.

Anahtar Kelimeler

Sinusitis, vestibular function tests, peripheral vestibular diseases

Kaynakça

• 1. Fokkens WJ, Lund VJ, Mullol J, et al EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology 2012;50:1-12.
• 2. Dietz de Loos DA, Hopkins C, Fokkens WJ. Symptoms in chronic rhinosinusitis with and without nasal polyps. Laryngoscope 2013;123:57-63.
• 3. Cho SH, Kim DW, Gevaert P. Chronic Rhinosinusitis without Nasal Polyps. J Allergy Clin Immunol Pract 2016;4:575-82.
• 4. Mucha A, Collins MW, Elbin RJ, et al A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med 2014;42:2479-86.
• 5. Zamysłowska-Szmytke E, Szostek-Rogula S, Śliwińska-Kowalska M. Bedside examination for vestibular screening in occupational medicine. Int J Occup Med Environ Health 2015;28:379-87.
• 6. Hancı D, Altun H, Şahin E, Altıntoprak N, Cingi C. Turkish translation, cross-cultural adaptation and validation of the SinoNasal Outcome Test (SNOT)-22. ENT Updates 2015;5:51-7.
• 7. Gavriel H, Shlamkovitch N, Kessler A, Eviatar E. Role of computerized dynamic posturography in evaluating sinugenic vertigo. Ann Otol Rhinol Laryngol 2013;122:263-8.
• 8. Cohen HS, Stewart MG, Brissett AE, Olson KL, Takashima M, Sangi-Haghpeykar H. Frequency of sinus disease in normal subjects and patients with benign paroxysmal positional vertigo. ORL J Otorhinolaryngol Relat Spec 2010;72:63-7.
• 9. Brody-Camp S, Risey JA Jr, McCoul ED. Vestibular Characteristics of Patients with Chronic Rhinosinusitis. OTO Open 2018;2:1-3.
• 10. Shore SE, Vass Z, Wys NL, Altschuler RA. Trigeminal ganglion innervates the auditory brainstem. J Comp Neurol 2000;419:271-85.
• 11. Lund VJ, Mackay IS. Staging in rhinosinusitus. Rhinology 1993;31:183-4.
• 12. Haid T. Vertigo originating from inflammation of the paranasal sinuses (the so-called sinugenic vertigo). Adv Otorhinolaryngol 1981;27:190-7.
• 13. Watson-Williams P. Case of Labyrinthine Vertigo due to Sphenoidal and Ethmoidal Sinusitis. Proc R Soc Med 1924;17:95-6.
• 14. Coats AC. Section I: Definition of Vestibular Neuronitis. Acta Oto-Laryngologica 1969;67:7-17.
• 15- Hung SH, Lin HC, Kao LT, Wu CS, Chung SD. Sudden sensorineural hearing loss is associated with chronic rhinosinusitis: population-based study. J Laryngol Otol 2016;130:521-5.
• 16- Lin X, Shan X, Lin S, Shu B, Wang Y, Xiao W. Is Sensorineural Hearing Loss Related to Chronic Rhinosinusitis Caused by Outer Hair Cell Injury? Med Sci Monit 2019;25:627-36.
• 17. Saliba J, Fnais N, Tomaszewski M, et al The role of trigeminal function in the sensation of nasal obstruction in chronic rhinosinusitis. Laryngoscope 2016;126:174-8.
• 18. Poletti SC, Cuevas M, Weile S, Hummel T. Trigeminal sensitivity in chronic rhinosinusitis: topographical differences and the effect of surgery. Rhinology 2017;55:70-4.
• 19. Vass Z, Shore SE, Nuttall AL, Miller JM. Direct evidence of trigeminal innervation of the cochlear blood vessels. Neuroscience 1998;84:559-67.
• 20. Liu YF, Xu H. The Intimate Relationship between Vestibular Migraine and Meniere Disease: A Review of Pathogenesis and Presentation. Behav Neurol 2016;2016:3182735.