Scientific Online Resource System

Izvestia Journal of the Union of Scientists - Varna. Medicine and Ecology Series

Vestibular and hearing disorders in obstructive sleep apnea patients

Mario Petrov Milkov



Obstructive sleep apnea (OSA) is a severe disease in children and adults presenting with complex interrelations between the respiratory system, on the one hand, and numerous systems and organs in the organism, on the other hand. This results in a variety of comorbidities which are difficult to treat.


The objective of the present communication is to analyze the basic diagnostic and therapeutic peculiarities of the vestibular and hearing disturbances in OSA patients.

Materials and Methods

During the period between 2015 and 2018, a total of 20 patients, 12 males and 8 females with OSA in whom hearing reduction because of acoustic nerve neuritis as well as tinnitus have been diagnosed. The following specialized examination methods were used: audiometry, optoacoustic emissions, video Head Impulse Test, polysomnography, etc.


In nine patients, there was hearing impairment of mixed, i.e. conductance and reception type. Thanks to the treatment of OSA carried out, a substantial improvement of the subjective and objective status of the patients with hearing reduction and tinnitus has been observed.


obstructive sleep apnea, polysomnography, otological examinations, hearing reduction, tinnitus, treatment

Full Text


Deniz M, Çiftçi Z, Ersözlü T, Gültekin E, Alp R. The evaluation of auditory system in obstructive sleep apnea syndrome (OSAS) patients. Am J Otolaryngol. 37, 2016, No 4, 299-303.

Ekin S, Turan M, Arısoy A, Gunbatar H, Sunnetcioglu A, Asker S, et al. Is there a relationship between obstructive sleep apnea (OSA) and hearing loss? Med Sci Monit. 22, 2016, 3124-3128.

Hill CM, Bucks RS, Kennedy CR, Harrison D, Carroll A, Upton N, et al. Hearing loss mediates executive function impairment in sleep-disordered breathing. Sleep Med. 34, 2017, 18-23.

Hunter JB, O`Connell BP, Wang J, Chakravorti S, Makowiec K, Carlson ML, et al. Correlation of superior canal dehiscence surface area with vestibular evoked myogenic potentials, audiometric thresholds, and dizziness handicap. Otol Neurotol. 37, 2016, No 8, 1104-1110.

İriz A, Düzlü M, Köktürk O, Kemaloğlu YK, Eravcı FC, Küükünal IS, et al. The effect of obstructive sleep apnea syndrome on the central auditory system. Turk J Med Sci. 48, 2018, No 1, 5-9.

Leite Filho CA, Silva FFD, Pradella-Hallinan M, Xavier SD, Miranda MC, Pereira LD. Auditory behavior and auditory temporal resolution in children with sleep-disordered breathing. Sleep Med. 34, 2017, 90-95.

Martines F, Ballacchino A, Sireci F, Mucia M, La Mattina E, Rizzo S, et al. Audiologic profile of OSAS and simple snoring patients: the effect of chronic nocturnal intermittent hypoxia on auditory function. Eur Arch Otorhinolaryngol. 273, 2016, No 6, 1419-1424.

Matsumura E, Matas CG, Magliaro FCL, Pedreño RM, Lorenzi-Filho G, Sanches SGG et al. Evaluation of peripheral auditory pathways and brainstem in obstructive sleep apnea. Braz J Otorhinolaryngol. 2016 Nov 25. doi: 10.1016/j.bjorl.2016.10.014.

Matsumura E, Matas CG, Sanches SGG, Magliaro FCL, Pedreño RM, Genta PR, et al. Severe obstructive sleep apnea is associated with cochlear function impairment. Sleep Breath. 22, 2018, No 1, 71-77.

Micarelli A, Liguori C, Viziano A, Izzi F, Placidi F, Alessandrini M. Integrating postural and vestibular dimensions to depict impairment in moderate-to-severe obstructive sleep apnea syndrome patients. J Sleep Res. 26, 2017, No 4, 487-494.

Mutlu M, Bayır Ö, Yüceege MB, Karagöz T, Fırat H, Özdek A, et al. Vestibular evoked myogenic potential responses in obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol. 272, 2015, No 11, 3137-3141.

Seo YJ, Chung HJ, Park SY, Kim CH, Lee JG, Kim SH, et al. Lowest oxyhemoglobin saturation may be an independent factor influencing auditory function in severe obstructive sleep apnea. J Clin Sleep Med. 12, 2016, No 5, 653-658.

Serra A, Maiolino L, Cocuzza S, Di Luca M, Campione G, Licciardello L, et al. Assessment of oxidative stress markers and hearing thresholds in patients with obstructive sleep apnea-hypopnoea treated with cysteine and superoxide dismutase therapy. Acta Biomed. 87, 2017, No 3, 253-258.

Vorlová T, Dlouhá O, Kemlink D, Å onka K. Decreased perception of high frequency sound in severe obstructive sleep apnea. Physiol Res. 65, 2016, No 6, 959-967.



Font Size