Objective::Nonspecific complaints of hearing loss, vertigo, imbalance, and instability, without a defined etiology, are very prevalent in the elderly population, with a great impact on morbidity and mortality in this age group. The objectives of this study were to verify whether there is age-related vestibular dysfunction and to test the association of vestibular dysfunction with presbycusis in the elderly population.Methods::Original retrospective analytical cross-sectional study, carried out with 80 patients who underwent a videonystagmography and complete audiometric evaluation due to nonspecific vestibular complaints, without a specific vestibular disorder diagnosis. Patients were selected and divided into two distinct age groups (group A: >60 years; group B: 18–50 years) and, in both groups, we analyzed the caloric tests and the pure-tone audiometry.Results::In the vestibular evaluation, we found that there was a statistically significant difference ( P < 0.05) between groups in the prevalence of bilateral vestibular weakness (group A: 22.5%; group B: 5%), and that the increase in age, above 60 years, is negatively correlated with the mean total caloric response. Additionally, we obtained a reasonable negative and statistically significant correlation ( r = -0.320, P < 0.05) between the mean bone conduction thresholds at high frequencies and total caloric responses in group A. Conclusions::In patients with hearing loss, it is essential to perform a complete vestibular study to diagnose vestibular disorders and, consequently, prevent adverse outcomes that may result from these alterations.

aged;bilateral vestibulopathy;caloric tests;presbycusis;vertigo

Azevedo Cátia;Vilarinho Sérgio;Menezes Ana Sousa;Mar Fernando Milhazes;Dias Luís

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital de Braga, Braga, Portugal

世界耳鼻咽喉头颈外科杂志（英文）

[1]Azevedo Cátia;Vilarinho Sérgio;Menezes Ana Sousa;Mar Fernando Milhazes;Dias Luís-.Vestibular and cochlear dysfunction in aging: Two sides of the same coin?)[J].世界耳鼻咽喉头颈外科杂志（英文）,2022(04):308-314

Nonspecific,presbycusis,vestibulopathy

Vestibular,cochlear,dysfunction,aging,Two,sides,same,coin,Objective,complaints,hearing,loss,vertigo,imbalance,instability,without,defined,etiology,are,very,prevalent,elderly,population,great,impact,morbidity,mortality,this,objectives,study,were,verify,whether,there,vestibular,association,Methods,Original,retrospective,analytical,cross,sectional,carried,patients,who,underwent,videonystagmography,complete,audiometric,evaluation,due,nonspecific,diagnosis,Patients,selected,divided,into,two,distinct,groups,years,both,analyzed,caloric,tests,pure,tone,audiometry,Results,In,found,that,was,statistically,significant,difference,between,prevalence,bilateral,weakness,increase,above,negatively,correlated,mean,total,Additionally,obtained,reasonable,correlation,bone,conduction,thresholds,high,frequencies,responses,Conclusions,essential,perform,diagnose,disorders,consequently,prevent,adverse,outcomes,may,result,from,these,alterations,aged

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