Author: CwD96ne

Part 2 – Audiovestibular Symptoms Related to Migraine – What Audiologists and ENTs Need to Know in 2022 for Expanding Patient Care

Tech Topic | November 2022 Hearing Review One of the greatest challenges in the evaluation and management of patients with migraine is the diversity in the presentation of symptoms among patients, and the variability in diagnostic testing results. As discussed in Part 1 of this series, patients with migraine often present to audiology and ENT clinics with complaints of acute or chronic dizziness and vertigo either with or without headache. By Richard E. Gans, PhD, and Joseph Sakumura, AuD Read Read More

Gans repositioning maneuver for the posterior canal BPPV patients: systematic review and meta‑analysis

European Archives of Oto-Rhino-Laryngology Published: April 6, 2022 Authors Deepika Joshi1 · Vyom Gyanpuri2 · Abhishek Pathak1 · Rameshwar Nath Chaurasia1 · Vijay Nath Mishra1 · Anand Kumar1 · Varun Kumar Singh1 · Dharma Raj3 · Neetu Rani Dhiman1 Background/Objectives BPPV (benign paroxysmal positional vertigo) is a syndrome marked by brief bouts of vertigo accompanied by rapid changes in head position. Recent ongoing therapeutic approaches used are vestibular rehabilitation exercises and physical maneuvers like the Epley maneuver, Semont maneuver. Gans Read More

Association of cognitive impairment and fall risk in older adults: an analytical cross-sectional study

Association of cognitive impairment and fall risk in older adults: an analytical cross-sectional study
Journal of Otolaryngology-ENT Research Published: March 17, 2022 Authors Kenneth Chua, Brittany Fauble, Richard Gans Background/Objectives Falling affects up to one-third of older adults each year and poses as a major public health concern. It is one of the main causes of morbidity and mortality in the geriatric population. Many studies have suggested that poorer cognition increases fall risks but there is currently no consensus on implementing cognitive assessment routinely for patients at risk of falls. This may be due Read More

February Heart Awareness Month | Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis

  In aortic stenosis, the major valve through which oxygenated blood leaves the heart narrows. The severity of a patient’s condition, however, does not correlate to their symptom load. Aortic stenosis is treated via an invasive valve-replacement procedure. As such, clinicians often debate whether operations are the right decision for asymptomatic patients. Evidence from Kang et al’s (New England Journal of Medicine 382, 111–119 (2020) recent trial asserts that early interventions significantly lower the risk of cardiovascular mortality among asymptomatic patients.   View Full Study

Virtual Reality & Vestibular Rehabilitation: Will A New Technology Improve Outcomes?

Vestibular Rehabilitation Therapy (VRT) has long been recognized as the gold standard in the non-medical management of patients with chronic non-compensated vestibulopathy. The functional manifestations may be comprised of one or more of the following symptoms: Oscillopsia- blurred vision with active head movement at specific frequencies and direction. Vestibular recruitment- hypersensitivity, sense of exaggerated motion or after-motion at specific frequencies and direction of movement. Dependence on the vision and/or surface sensory modalities to maintain proper management of center of gravity Read More