Document Detail


Chronic suppurative otitis media, caloric testing, and rotational chair testing.
MedLine Citation:
PMID:  18046261     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gerard J Gianoli; James S Soileau
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  2008-01-18     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-5     Citation Subset:  IM    
Affiliation:
The Ear and Balance Institute, Baton Rouge, Louisiana 70816, USA. ggianoli@gmail.com
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MeSH Terms
Descriptor/Qualifier:
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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