Background: A relationship exists between autoimmune thyroid disorders and vestibular dysfunction. This study aimed to analyze cervicalevoked myogenic potentials (cVEMP) and video head impulse test (vHIT) results between children with Hashimoto thyroiditis (HT) and healthy controls to determine vestibular end-organ problems. Methods: Thirty-six children with HT and 30 healthy subjects were recruited. The main inclusion criteria for the healthy group were the presence of normal thyroid function and no clinical history of vestibular problems. Each participant (both HT and healthy groups) was assessed using audiovestibular tests, cVEMP, and vHIT. Results: There was no significant difference between the groups in terms of cVEMP (p1 and n1) latencies for both ears. There was no significant difference in cVEMP amplitudes (p1-n1 peak-to-peak) between the groups. There were statistically significant differences in the VOR gain of the right and left ears between the groups (P < .001, P < .001). When we considered lower cutoff value as 0.80 for VOR gain, 29 of 36 patients with HT (80.6%) had lower VOR gain scores. Only 1 of 30 healthy participants (3.3%) had a lower VOR gain score. This difference was statistically significant (P < .001). Conclusion: Subclinical vestibulopathy may occur in children with HT. The vHIT seems to be a valuable tool for identifying and screening preclinical vestibular pathologies in this patient group. Cite this article as: Seymen G, Günay G, Cirik AA, Sürmeli R, Sürmeli M. Vestibular dysfunction in euthyroid children with Hashimoto’s thyroiditis. J Int Adv Otol. 2024;20(5):426-430.

Background and purpose – This prospective study aimed to investigate differences in video head impulse test (vHIT) and cervical vestibular evoked myogenic potential (cVEMP) findings between patients with vertebrobasilar insufficiency (VBI) and Meniere’s disease (MD) who experience episodic vertigo attacks. Methods – A total of 27 patients with VBI and 37 patients with MD were enrolled into the study in a tertiary referral center. Inclusion criteria consisted of patients with a minimum of two previous vertigo attacks, unaccompanied by any neurological symptoms during an attack. All patients underwent horizontal canal h-vHIT and c-VEMP assessments following pure sound audiometric examinations. First, vHIT and cVEMP results for low and high flow sides in VBI patients were analyzed. Subsequently, data from the low-flow side in VBI patients and the affected side in MD patients were compared. Results – The mean vHIT values for low and high-flow volume sides in VBI patients were 0.68 and 0.88, respectively. In MD patients, mean vHIT values for affected and healthy sides were measured as 0.77 and 0.87, respectively. Abnormal results were observed in 66.7% of VBI patients and 51.4% of MD patients, with no statistically significant difference between the findings (p> 0.05). Upon examining the affected side, c-VEMP responses were absent in 41% of MD patients and 48% of VBI patients, with no statistically significant difference between the groups (p> 0.05). Conclusion – vHIT and cVEMP assessments can be utilized as supplementary tools to radiologic investigations for the clinical diagnosis and follow-up of VBI. However, no significant differences were observed between vHIT and cVEMP findings in patients with MD and VBI.

Objective: This study aimed to objectively evaluate utricular dysfunction in patients with posterior canal benign paroxysmal positional vertigo (BPPV) using the video Ocular Counter-Roll (vOCR) test and to monitor functional changes following the Epley maneuver. Methods: The study included 30 patients diagnosed with BPPV (19 with right posterior canal involvement, 11 with left) and 30 age- and sex-matched healthy controls. After diagnosis was confirmed by the Dix-Hallpike test, all patients underwent the static vOCR test twice: before the Epley maneuver and during the follow-up examination in which nystagmus and vertigo were no longer observed in the Dix-Hallpike test. Measurements were performed using the Interacoustics VisualEyes™ 525 system and video oculography goggles. Participants were tested at 30° lateral body tilt positions, and only static torsional eye movements were analyzed. Results: Prior to treatment, vOCR values on the affected side were significantly lower compared to the unaffected side and the control group. After treatment, a marked improvement was observed in vOCR responses, and the differences between groups were no longer statistically significant. The mean vOCR value increased from 3.77° to 6.00°, and the asymmetry ratio decreased from 25.80 to 2.84%. Conclusion: The vOCR test appears to be an effective, rapid, and non-invasive clinical tool for evaluating utricular dysfunction and monitoring treatment response in BPPV patients. Its ability to provide objective data makes it a valuable complementary component in vestibular assessment protocols.

Septorhinoplasty is commonly followed by edema and ecchymosis, which, although temporary, may reduce patient satisfaction and delay return to daily activities. Pharmacologic and physical methods are used to minimize these sequelae, but evidence for facial exercises is limited. To investigate the effect of face yoga on postoperative edema, ecchymosis, and discoloration after septorhinoplasty. In this prospective controlled study, 70 patients were assigned to either the face yoga group or the control group. The face yoga group (n = 43) performed standardized exercises twice daily for 14 days in addition to routine postoperative care, while the control group (n = 27) received only standard care with cold compresses. Outcomes were assessed on postoperative days 1, 7, and 14 using the Totonchi et al. grading system by four blinded otolaryngologists. Groups showed no significant differences on days 1 and 7. By day 14, however, the face yoga group demonstrated significantly lower edema, ecchymosis, and discoloration scores (p < 0.001 for all). Structured face yoga may accelerate recovery after septorhinoplasty, with benefits most evident after two weeks. As a safe, non-invasive, and cost-free practice, it could serve as an effective adjunct to standard postoperative care. Larger trials are warranted.

Gelişimsel Anatomi Burak ERKMEN Melike Pınar ÜNSAL Pediatrik Otolaringoloji Cerrahisinde Anestezi Uygulamaları Pınar YILDIRIM ÖZKAN Ahu BAYSAL ÇİTİL Dış Kulak Malformasyonları, Konjenital Aural Atrezi ve İç Kulak Malformasyonları Hüseyin ÇUBUK Konjenital İşitme Kayıpları Mahmut Ozan FINDIK Akut Otitis Media Caner AKUFUK Muhammed Semih GEDİK Effüzyonlu Seröz Otit Ahmet Adnan CIRIK Yeşim ESEN YİĞİT Kronik Otitis Media Şeyma AKGÜN BOSTANCI Burun, Paranazal Sinus ve Nazofarenksin Konjenital Anomalileri Semih YAZLA BÖLÜM 9 Pediatrik Alerjik Rinit Fuad SOFUOĞLU Pediatrik Rinosinüzit Birsen ERZİNCAN Pediatrik Farenjit & Tonsillit Döne SAVURAN ORAKCI Pediatrik Obstruktif Uyku Apnesi Sendromu Hasan ÇANAKCI Çocukluk Çağı Boyun Kitlelerine Yaklaşım Ferhat KÜÇÜK Baş ve Boyun Vasküler Anomalileri Yaşar Kemal DUYMAZ Baş ve Boyun Tümörleri Yaşar Kemal DUYMAZ Pediatrik Fasiyal Travmalar Alp YÜCE Pediatrik Tükürük Bezi Hastalıkları Büşra BALCIOĞLU Melike Pınar ÜNSAL Pediatrik Hava Yoluna Yaklaşım Betül AKTAŞ KİPOĞLU Konjenital Larenks ve Trakea Anomalileri Fatih SAVRAN Edinilmiş Laringeal Anomaliler Müslüm AYRAL Yabancı Cisim Aspirasyonu ve Kostik Madde Yaralanmaları Burak ERKMEN Yutma Fizyolojisi ve Aspirasyon Problemleri Ahmet DEVECİ Pediatrik Özofagus Hastalıkları Büşra BALCIOĞLU Melike Pınar ÜNSAL Pediyatrik Baş ve Boyun Hastalıklarında Görüntüleme Elif Dilara TOPCUOĞLU Adenoid Hastalıkları Ahmet Adnan CIRIK Furkan BAYRAM