| Chronic suppurative otitis media, caloric testing, and rotational chair testing. | |
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MedLine Citation:
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PMID: 18046261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the incidence of caloric and rotational chair testing (ROT) abnormalities in a group of patients with chronic suppurative otitis media (CSOM) and to correlate caloric test results with ROT. PATIENTS: Twenty-five patients with CSOM with or without cholesteatoma who were to undergo tympanomastoid surgery. INTERVENTIONS: Caloric and ROT. MAIN OUTCOME MEASURES: History of dizziness. Vestibular test abnormalities defined by caloric weakness (CW), reduced gain, abnormal phase, or asymmetry on ROT. RESULTS: Among the 25 patients, 13 had bilateral CSOM-most with long-standing disease and history of previous surgical intervention. Of the 25 patients, 19 (76%) demonstrated either unilateral or bilateral CW. Eighteen (72%) demonstrated abnormalities on ROT. Eleven patients (44%) had complaints of vertigo/dizziness, although 2 of these patients had both normal caloric testing and ROT. Unilateral or bilateral CW was 80% accurate in predicting an ROT abnormality, whereas the symptom of vertigo/dizziness was only 48% accurate in predicting an ROT abnormality. CONCLUSION: The incidence of CW among CSOM patients in this study was high and correlated well with abnormalities on ROT. Interestingly, ROT results correlated better with CW than symptoms of dizziness/vertigo. Although CW findings can be the result of technical limitations in testing patients with CSOM, ROT corroboration of these results suggest that they are valid findings. |
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Authors:
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Gerard J Gianoli; James S Soileau |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology Volume: 29 ISSN: 1531-7129 ISO Abbreviation: Otol. Neurotol. Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2008-01-18 Completed Date: 2008-02-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100961504 Medline TA: Otol Neurotol Country: United States |
Other Details:
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Languages: eng Pagination: 13-5 Citation Subset: IM |
Affiliation:
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The Ear and Balance Institute, Baton Rouge, Louisiana 70816, USA. ggianoli@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Caloric Tests* Chronic Disease Dizziness / physiopathology Humans Otitis Media, Suppurative / diagnosis*, physiopathology, surgery Otologic Surgical Procedures Predictive Value of Tests Preoperative Care Retrospective Studies Rotation Vestibular Function Tests* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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