Perioperative vestibular assessment and testing

Publication date: Available online 12 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Jacob R. Brodsky, Guangwei ZhouVestibular disorders can be difficult to accurately diagnose and manage. A careful history and focused physical examination are typically adequate to establish a diagnosis and initiate medical treatment. Vestibular testing is an important component of the work-up, but it is particularly essential for patients being considered for surgical intervention for a vestibular disorder, where the testing can be used to more definitively confirm a suspected diagnosis and to determine baseline vestibular organ function. In this article, we will first briefly review key components of the history and physical examination of patients with vestibular complaints. We will then discuss the most commonly used vestibular tests and their role in the preoperative assessment of patients undergoing vestibular surgery, including nystagmography, caloric testing, rotary chair testing, video head impulse testing, and vestibular evoked myogenic potential testing.

Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 13, 2019 Category: ENT & OMF Source Type: research