TY  - JOUR
TI  - Long-Term Balance Outcomes in Vestibular Ablative 
Surgeries
AB  - Objective: To evaluate the long-term balance outcomes of vestibular nerve section (VNS) and 
labyrinthectomy (L) operations. The indirect outcomes will be the correlation of objective and 
subjective test results and an analysis of anterior-posterior versus medial-lateral computerized 
posturography (CP) scores.
Methods: This retrospective study evaluated objective CP and subjective Dizziness Handicap 
Inventory (DHI) results of patients who underwent VNS and L surgeries for Ménière’s disease.
Results: A total of 55 (31 VNS and 24 L) patients were included in the study. The two operation 
groups were similar in terms of age, and mean time between surgery and the tests (p=0.465 and 
p=0.616) respectively. The vestibular and global scores at anterior-posterior CP showed statistically 
significant differences between the groups (p=0.000 and p=0.007) respectively in favor of the 
VNS group. In addition, the comparison of the vestibular CP scores of anterior-posterior and 
medial-lateral evaluations of the entire study population was lower in the medial-lateral evaluation 
(p=0.000). The mean DHI scores did not show statistically significant differences (p=0.359) 
between operation groups, nor did the correlation analysis between CP and DHI scores reveal 
statistical significance (p values >0.05).
Conclusion: In the long term, objective balance outcomes are better for VNS patients than for L 
patients. Additionally, medial-lateral balance outcomes are more affected than anterior-posterior 
balance outcomes from unilateral ablative surgeries. Subjective balance perception is not different 
between the two surgery groups, and DHI scores do not show a correlation with CP scores.
AU  - Gulhan Yasar, Nagihan
AU  - ERAVCI, Fakih Cihat
AU  - Yilmaz, Metin
AU  - Tutar, Hakan
AU  - KARAMERT, RECEP
AU  - Uğur, Mehmet Birol
AU  - ŞANSAL, EBRU
DO  - 10.4274/tao.2020.6032
PY  - 2021
JO  - Turkish archives of otorhinolaryngology 
VL  - 59
IS  - 1
SN  - 2667-7466
SP  - 14
EP  - 19
DB  - TRDizin
UR  - http://search/yayin/detay/509156
ER  -