European Archives of Oto-Rhino-Laryngology

, Volume 275, Issue 11, pp 2659–2665 | Cite as

Evaluation of vestibular system with vHIT in industrial workers with noise-induced hearing loss

  • Nihat YilmazEmail author
  • Kadri Ila
  • Emre Soylemez
  • Ali Ozdek



Industrial workers are frequently exposed to noise and the noise can cause hearing loss. The relationship between vestibular abnormalities and long-term exposure to occupational noise has been reported. The aim of this study was to use vHIT (video head impulse test) to evaluate the semicircular canal’s function in industrial workers with noise-induced hearing loss.


In the present study, we included 36 male patients (aged 28–55 years, mean 44.4 ± 6.1 years) with hearing loss due to noise exposure from working in the steel and metal industry for at least 4 years, and a control group of 30 healthy men (aged 34–50 years, mean 41.1 ± 4.5 years) without hearing loss. The gain of the vestibulo-ocular reflex for all 6 semicircular canals was examined by vHIT in 66 patients.


Canal deficit was detected in 20 (55.5%) of 36 patients in the noise exposure hearing loss group and was detected in 2 (6.6%) of 30 participants in the control group. There was significant loss of capacity for VOR gain in patients with noise exposure hearing loss.


In the present study we found that exposure to noise can cause vestibular dysfunction. And the vHIT is easily applicable, quick and practical and can individually evaluate all semicircular channels. Therefore, to evaluate vestibular function with vHIT is quick and practical.


Video head impulse test Noise exposure Hearing loss Vestibular dysfunction vHIT 


Compliance with ethical standards

Conflict of interest

All authors declare that there are no conflicts of interests. The authors did not have any financial support to write this paper.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Roberts B, Sun K, Neitzel RL (2017) What can 35 years and over 700,000 measurements tell us about noise exposure in the mining industry? Int J Audiol 56(sup1):4–12CrossRefGoogle Scholar
  2. 2.
    Manzoor J, Mamta, Jaganadha Rao R, Wani KA (2016) Health impact and noise exposure assessment in the cricket bat industry of Kashmir, India. Int J Occup Saf Ergon 22(4):473–478CrossRefGoogle Scholar
  3. 3.
    Sriopas A, Chapman RS, Sutammasa S, Siriwong W (2017) Occupational noise-induced hearing loss in auto part factory workers in welding units in Thailand. J Occup Health 59(1):55–62CrossRefGoogle Scholar
  4. 4.
    Singh S, Gupta RK, Kumar P (2012) Vestibular evoked myogenic potentials in children with sensorineural hearing loss. Int J Pediatr Otorhinolaryngol 76(9):1308–1311CrossRefGoogle Scholar
  5. 5.
    Santos TGT, Venosa AR, Sampaio ALL (2015) Association between hearing loss and vestibular disorders: a review of the interference of hearing in the balance. Int J Otolaryngol Head Neck Surg 4:173–179CrossRefGoogle Scholar
  6. 6.
    Verbecque E, Marijnissen T, De Belder N, Van Rompaey V, Boudewyns A, Van de Heyning P, Vereeck L, Hallemans A (2017) Vestibular (dys)function in children with sensorineural hearing loss: a systematic review. Int J Audiol 56(6):361–381CrossRefGoogle Scholar
  7. 7.
    Cushing SL, Papsin BC, Rutka JA, James AL, Blaser SL, Gordon KA (2009) Vestibular end-organ and balance deficits after meningitis and cochlear implantation in children correlate poorly with functional outcome. Otol Neurotol 30(4):488–495CrossRefGoogle Scholar
  8. 8.
    Maes L, De Kegel A, Van Waelvelde H, Dhooge I (2014) Rotatory and collic vestibular evoked myogenic potential testing in normal-hearing and hearing-impaired children. Ear Hear 35(2):e21–e32CrossRefGoogle Scholar
  9. 9.
    Liu J, Zhou RH, Liu B, Leng YM, Liu JJ, Liu DD, Zhang SL, Kong WJ (2017) Assessment of balance and vestibular functions in patients with idiopathic sudden sensorineural hearing loss. J Huazhong Univ Sci Technol Med Sci 37(2):264–270CrossRefGoogle Scholar
  10. 10.
    Zuniga MG, Dinkes RE, Davalos-Bichara M, Carey JP, Schubert MC, King WM, Walston J, Agrawal Y (2012) Association between hearing loss and saccular dysfunction in older individuals. Otol Neurotol 33(9):1586–1592CrossRefGoogle Scholar
  11. 11.
    Hamilton SS, Zhou G, Brodsky JR (2015) Video head impulse testing (VHIT) in the pediatric population. Int J Pediatr Otorhinolaryngol 79(8):1283–1287CrossRefGoogle Scholar
  12. 12.
    Bansal S, Sinha SK (2016) Assessment of VOR gain function and its test-retest reliability in normal hearing individuals. Eur Arch Otorhinolaryngol 273(10):3167–3173CrossRefGoogle Scholar
  13. 13.
    Halmagyi GM, Chen L, MacDougall HG, Weber KP, McGarvie LA, Curthoys IS. The video head impulse test. Front Neurol 8:258Google Scholar
  14. 14.
    Wiener-Vacher SR, Wiener S (2017) Video head impulse tests with a remote camera system: normative values of semicircular canal vestibulo-ocular reflex gain in infants and children. Front Neurol 7(8):434. CrossRefGoogle Scholar
  15. 15.
    Golz A, Westerman ST, Westerman LM, Goldenberg D, Netzer A, Wiedmyer T, Fradis M, Joachims HZ (2001) The effects of noise on the vestibular system. Am J Otolaryngol 22(3):190–196CrossRefGoogle Scholar
  16. 16.
    Wang YP, Young YH (2007) Vestibular-evoked myogenic potentials in chronic noise-induced hearing loss. Otolaryngol Head Neck Surg 137(4):607–611CrossRefGoogle Scholar
  17. 17.
    Fetoni AR, Ferraresi A, Picciotti P, Gaetani E, Paludetti G, Troiani D (2009) Noise induced hearing loss and vestibular dysfunction in the guinea pig. Int J Audiol 48(11):804–810CrossRefGoogle Scholar
  18. 18.
    Akdogan O, Selcuk A, Take G, Erdoğan D, Dere H (2009) Continuous or intermittent noise exposure, does it cause vestibular damage? An experimental study. Auris Nasus Larynx 36(1):2–6CrossRefGoogle Scholar
  19. 19.
    Hsu WC, Wang JD, Lue JH, Day AS, Young YH (2008) Physiological and morphological assessment of the saccule in Guinea pigs after noise exposure. Arch Otolaryngol Head Neck Surg 134(10):1099–1106CrossRefGoogle Scholar
  20. 20.
    Akin FW, Murnane OD, Tampas JW, Clinard C, Byrd S, Kelly JK (2012) The effect of noise exposure on the cervical vestibular evoked myogenic potential. Ear Hear 33(4):458–465PubMedGoogle Scholar
  21. 21.
    Cushing SL, Papsin BC, Rutka JA, James AL, Gordon KA (2008) Evidence of vestibular and balance dysfunction in children with profound sensorineural hearing loss using cochlear implants. Laryngoscope 118(10):1814–1823CrossRefGoogle Scholar
  22. 22.
    Shupak A, Bar-El E, Podoshin L et al (1994) Vestibular findings associated with chronic noise induced hearing impairment. Acta Otolaringol (Stockh) 114:579–585CrossRefGoogle Scholar
  23. 23.
    Oosterveld WJ, Polman AR, Schoonheyt J (1982) Vestibular implications of noise-induced hearing loss. Br J Au-diol 16:227–232CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyKarabuk University Medical FacultyKarabukTurkey
  2. 2.Department of OtorhinolaryngologyIstinye University School of Health SciencesIstanbulTurkey

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