Peer Reviewed • Open Access • Scientific Publishing ISSN 3150-1249

DOI: 10.67186/joafs.v1.i20261.4

Audiovestibular Sciences in the 21st Century: From Sensory Biology to Precision Diagnosis and Individualized Rehabilitation

Journal of Otorhinolaryngology, Airway, and Facial Surgery

Abstract

Background: Hearing and balance depend on closely related peripheral receptors and distributed neural networks. Advances in genetics, electrophysiology, imaging, neuroprosthetics, digital health, and artificial intelligence and robotics are shifting the field toward integrated audiovestibular care.
Objective: To provide a contemporary lifespan overview linking sensory biology and physiology with audiovestibular disorders, precision diagnosis, rehabilitation, implantable technologies, and emerging restorative therapies.
Methods: A narrative synthesis was structured around developmental biology, auditory and vestibular physiology, aging, disease mechanisms, contemporary diagnostics, rehabilitation, artificial intelligence, vestibular implantation, robotic cochlear implantation, and gene therapy.
Results: Modern audiovestibular assessment increasingly integrates objective physiology, imaging, genetics, functional measures, and patient-reported outcomes. Cochlear implantation and vestibular rehabilitation remain established pillars of care, while vestibular neuroprostheses, AI-enabled assessment, digital biomarkers, and gene therapy are expanding the therapeutic landscape.
Conclusion: Audiovestibular medicine is moving from organ-centered diagnosis toward lifespan-based, mechanism-informed, and increasingly personalized care.

Authors

Vedat Topsakal

Keywords

sensorineural hearing loss, audiovestibular system; vestibular disorders; audiology;

Publication Information

Publication Date
05.10.2026
Submission Date
05.09.2026
Accepted Date
05.10.2026
Volume
1
Issue
2026-1
Year
2026
Pages
24-31
Language
English
Status
Published
Views
14
Downloads
0
DOI
10.67186/joafs.v1.i20261.4

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