Role of the Frontal Sinus in Mediating Ocular Vestibular-Evoked Myogenic Potentials by Bone Vibration Stimuli Applied to the Forehead
Journal
Audiology and Neurotology
Journal Volume
22
Journal Issue
4-5
Pages
272-281
Date Issued
2018
Author(s)
Abstract
This study investigated ocular vestibular-evoked myogenic potential (oVEMP) tests via Fpz and Fz taps to assess the role of the frontal sinus in mediating oVEMP elicitation. Forty healthy subjects and 80 patients with M?ni?re disease (MD) underwent a series of oVEMP tests via a minishaker tapping at the Fpz and Fz sites in a randomized order. Response rates of oVEMP test via various tapping sites were compared. Dimensions of the frontal sinus were measured via CT scan. A significantly negative correlation between the age and height of the frontal sinus was noted, and the cutoff age for discriminating present and absent Fpz oVEMPs in MD patients was 52 years. Additionally, oVEMPs by Fpz tapping were more efficiently presented in males than females, likely because of the greater resonance by the larger height of the frontal sinus in males (3.88 ± 0.68 cm) than females (3.42 ± 0.67 cm). In conclusion, the height of the frontal sinus plays a role in mediating the elicitation of oVEMPs. The oVEMPs could be easily elicited by the first-order bone vibration (Fpz/Fz tapping) coupled with the second-order resonance effect (with a high extent of the frontal sinus). Thus, initial tapping at the Fpz site is suggested. If it fails, try the Fz site for screening the oVEMPs. ? 2018 S. Karger AG, Basel. All rights reserved.
SDGs
Other Subjects
adolescent; adult; Article; comparative study; controlled study; female; forehead; frontal sinus; human; major clinical study; male; Meniere disease; priority journal; sex difference; vestibular evoked myogenic potential; vibration; x-ray computed tomography; bone conduction; diagnostic imaging; forehead; frontal sinus; middle aged; pathophysiology; physiology; vestibular evoked myogenic potential; young adult; Adolescent; Adult; Bone Conduction; Female; Forehead; Frontal Sinus; Humans; Male; Meniere Disease; Middle Aged; Tomography, X-Ray Computed; Vestibular Evoked Myogenic Potentials; Vibration; Young Adult
Publisher
S. Karger AG
Type
journal article