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Updated: Dec 18, 2025

Stochastic Noise Application for the Assessment of Medial Vestibular Nucleus Neuron Sensitivity In Vitro
Published on: August 28, 2019
Sub-Clinical Effects of Chronic Noise Exposure on Vestibular System
P Viola1, A Scarpa2, D Pisani1
1Unit of Audiology, Department of Experimental and Clinical Medicine, Regional Centre for Cochlear Implants and ENT Diseases, University "Magna Graecia", Catanzaro, Italy.
Chronic noise exposure can cause vestibular damage, even in individuals without noticeable balance issues. This study found that noise-induced hearing loss is linked to impaired vestibular function, indicating potential vestibular lesions from acoustic trauma.
Area of Science:
- Otolaryngology
- Neuroscience
- Audiology
Background:
- Chronic noise exposure is a known cause of cochlear damage, leading to noise-induced hearing loss (NIHL).
- The effects of chronic noise exposure on vestibular function in individuals without clinical vestibular symptoms are not fully understood.
- Documented cochlear damage from noise may be accompanied by subclinical vestibular dysfunction.
Purpose of the Study:
- To investigate the impact of chronic noise exposure on vestibular function.
- To assess vestibular function in individuals with documented cochlear damage from noise but without vestibular complaints.
- To compare vestibular function between noise-exposed individuals and controls with non-noise-related hearing loss.
Main Methods:
- 25 patients with chronic NIHL (Group A) and 25 controls with sensorineural hearing loss (Group B) participated.
- Both groups underwent audiological and vestibular testing.
- Vestibular tests included caloric tests and cervical vestibular-evoked myogenic potentials (cVEMPs).
Main Results:
- An increased evocation threshold for VEMPs was observed in noise-exposed subjects, significantly different from controls (p<0.05).
- This VEMP threshold increase was independent of auditory threshold performance.
- P1-n1 amplitude values of VEMPs showed a significant difference between the noise-exposed group and the control group.
Conclusions:
- Chronic acoustic trauma can lead to vestibular lesions alongside cochlear damage.
- Vestibular dysfunction may be present in individuals with NIHL, even without subjective vestibular symptoms.
- cVEMPs can detect subclinical vestibular alterations related to chronic noise exposure.
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