The short-term effect of COVID-19 on the cochleovestibular system in pediatric patients

Demir, İsmail; Aydın, Şükrü; Cengiz, Deniz Uğur

doi:10.1016/j.ijporl.2022.111406

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…Similarly, other studies have reported that COVID-19 may affect the auditory system in the pediatric population 22,23 . Our results are consistent with those of previous studies.…”

Section: Discussionmentioning

confidence: 59%

“…20 The effects of COVID-19 on the efferent systems in children and infants were examined using a similar study design, and similar results were obtained in adults. [21][22][23] However, all of these studies were performed by comparing individuals with a history of COVID-19 with a control group consisting of healthy individuals without a history of COVID-19. In addition, a standardized method and optimized parameters for CS were not used in these studies.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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The Effect of COVID-19 on the Efferent Auditory System in Adults

Çelikgün,

Sarlık,

Yurdakul Çınar

2023

J Am Acad Audiol

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Background: It was evaluated the effects of COVID-19 on the cochlea and auditory efferent system with Transient Evoked Otoacoustic Emission (TEOAE) and Contralateral Suppression (CS) Test in this research. Purpose: We aimed to evaluate the pre- and post-COVID-19 Transient Evoked Otoacoustic Emission and Contralateral Suppression results in the same participants to reveal the effect of COVID-19 on the efferent auditory system. Study Design: The CS measurement was performed twice for each participant before a diagnosis of COVID-19 and after treatment of COVID-19 as a within-subjects study design. All participants had normal hearing at all frequencies (≤ 25 dB HL at 0.25 – 8 kHz) and had normal middle ear functions in both ears. The tests were performed in the linear mod by using double-probe on the Otodynamics ILO292-II device. The CS of the OAEs was measured at 65 dB peSPL TEOAE stimulus and 65 dB SPL broadband noise. All parameters including reproducibility, noise, and stability were considered during the measurements. Study Samples: The study included 11 patients [8 female and 3 male] aged between 20 and 35 years (mean age is 26 ± 3.66). Data Collection and Analysis: Wilcoxon Signed Ranks Test and Spearman's correlation test were used for statistical analysis via Statistical Package for the Social Sciences (SPSS) version 23.0. Results: The Wilcoxon Signed Rank Test showed that there was no significant difference between the pre-and post-COVID-19 TEOAE CS results in all tested frequencies and measurement parameters, 1000 Hz to 4000 Hz, respectively Z= -0.356, -0.089, -0.533, -0.533, -1.156 and p<0.05. Although not statistically significant, the CS results obtained post-COVID-19 at all frequencies except 4000 Hz were lower than that pre- COVID-19. According to the overall TEOAE results after COVID-19, a statistically significant decrease was observed at 3000 Hz (Z=-2.847, p<0.01) and 4000 Hz (Z=-2.401, p<0.05) compared to the pre-measurement. Conclusions: The study findings show that SARS-CoV-2 can affect the cochlea and the auditory efferent system in adults. Post-COVID-19 audiological evaluation can also be considered part of the general medical examination. Key words: Covid-19, SARS-CoV-2, efferent system, contralateral suppression, otoacoustic emission

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“…Similarly, other studies have reported that COVID-19 may affect the auditory system in the pediatric population 22,23 . Our results are consistent with those of previous studies.…”

Section: Discussionmentioning

confidence: 59%

Section: Accepted Manuscriptmentioning

confidence: 99%

The Effect of COVID-19 on the Efferent Auditory System in Adults

Çelikgün,

Sarlık,

Yurdakul Çınar

2023

J Am Acad Audiol

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“…However, it must be emphasized that the gains of the COVID group are still in the normal range, and it is questionable whether a small cohort of 26 individuals has sufficient sample size to generalize the findings (9). The same criticism applies to the study by Demir et al that examines audio-vestibular function in a pediatric COVID collective comprising 35 children age 9-15 years (27). In our cohort, we did not detect overall reduced semicircular canal function or otolith dysfunction.…”

Section: Discussionmentioning

confidence: 99%

The effects of COVID-19 on the vestibular system

et al. 2023

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IntroductionThe symptoms and severity of SARS-CoV-2 infection vary greatly across the spectrum, from asymptomatic infection to severe pneumonia with acute respiratory distress syndrome and even death. Dizziness is a frequently reported symptom of SARS-CoV-2 viral infection. However, the extent to which this symptom results from the effect of SARS-CoV-2 on the vestibular system remains unclear.Materials and methodsIn the present single-center, prospective cohort study, patients with a previous SARS-CoV-2 infection underwent a vestibular assessment consisting of the Dizziness Handicap Inventory to assess dizziness during and after infection, a clinical examination, the video head impulse test, and the subjective visual vertical test. When the subjective visual vertical test result was abnormal, vestibular-evoked myogenic potentials were performed. Vestibular testing results were compared to pre-existing normative data of healthy controls. In addition, we performed a retrospective data analysis of patients admitted to hospital presenting with acute symptoms of dizziness who were also diagnosed with acute SARS-CoV-2 infection.ResultsA total of 50 participants have been enrolled. During and after the SARS-CoV-2 infection, women were significantly more likely than men to suffer from dizziness. A significantly reduced semicircular canal or otolith function was not observed in either women or men. Acute SARS-CoV-2 infection was diagnosed in nine patients who presented to the emergency room with acute vestibular syndrome. Six of the patients exhibited acute unilateral peripheral vestibulopathy upon diagnosis. A different patient was diagnosed with vestibular migraine, and two individuals had a posterior inferior cerebellar artery infarct revealed by magnetic resonance imaging.Discussion/conclusionOverall, a persisting structural affection of the vestibular system by SARS-CoV-2 seems to be unlikely and could not be confirmed by vHIT, SVV, and VEMPS in our study. It seems possible but unlikely that SARS-CoV-2 induces acute vestibulopathy. Nevertheless, dizziness is a common symptom in patients with COVID-19, which should be taken and worked through seriously.

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Ear abnormalities in chronic fatigue syndrome (CFS), fibromyalgia (FM), Coronavirus-19 infectious disease (COVID) and long-COVID syndrome (PCS), sick-building syndrome (SBS), post-orthostatic tachycardia syndrome (PoTS), and autoimmune/inflammatory syndrome induced by adjuvants (ASIA): A systematic review

Skare,

de Carvalho,

de Medeiros

et al. 2024

Autoimmunity Reviews

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The short-term effect of COVID-19 on the cochleovestibular system in pediatric patients

Cited by 3 publications

References 28 publications

The Effect of COVID-19 on the Efferent Auditory System in Adults

The Effect of COVID-19 on the Efferent Auditory System in Adults

The effects of COVID-19 on the vestibular system

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