Investigation of the relationship between severe-to-profound sensorineural hearing loss and vestibulo-ocular reflex using objective vestibular tests


Mazooglu B., Cihan M. C.

International Journal of Audiology, 2026 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2026
  • Doi Number: 10.1080/14992027.2026.2630284
  • Journal Name: International Journal of Audiology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, MEDLINE, Psycinfo
  • Keywords: functional head impulse test, Sensorineural hearing loss, vestibular system, vestibulo-ocular reflex, video head impulse test
  • Inonu University Affiliated: Yes

Abstract

Objective: The aim of this study was to evaluate the relationship between unilateral idiopathic severe-to-profound sensorineural hearing loss and vestibular-ocular reflex (VOR). Design: This study used a descriptive cross-sectional research design to examine the relationship between unilateral idiopathic severe-to-profound sensorineural hearing loss and the vestibulo-ocular reflex. Study Sample: The study included 76 participants (42 women, 34 men) aged 18–50, comprising individuals with unilateral idiopathic severe-to-profound sensorineural hearing loss and healthy controls. All completed a Demographic Data Form and underwent v-HIT and f-HIT assessments. Results: The f-HIT revealed statistically significant differences among the affected ear, unaffected ear, and control groups in lateral SCC performance at 4000–6000°/s2, posterior SCC performance at 3000–6000°/s2 and in overall percentage of correct answers (%CA) (p < 0.05). The v-HIT showed significant group differences in VOR gain values for all SCCs and in asymmetry between case and control groups (p < 0.05). Conclusions: A decrease in the gain and functionality of the vestibulo-ocular reflex has been observed in individuals with unilateral idiopathic severe-to-profound sensorineural hearing loss. İnvolvement of the vestibulo-ocular reflex pathway has also been noted on the side without hearing loss.