Research Articles & Publications

Mechanical and sensorineural vestibular dysfunction: a case study of “mixed” vestibulopathy

J Otolaryngol ENT Res. 2020;12(3):85‒89. Volume 12 Issue 3 – 2020 Joseph T Sakumura, Richard E Gans The American Institute of Balance, USA Abstract A diagnosis of hearing loss typically consists of categorizing the locus of involvement; conductive, sensorineural, retrocochlear, or mixed. It is this designation that provides guidance as to whether medical or a non-medical approach e.g. amplification is the preferred treatment. When a “mixed” loss occurs, a combination of medical and non-medical management strategies will be utilized. When Read More

Outcome of Gans Repositioning Maneuver in Patients with Posterior Canal Benign Paroxysmal Positional Vertigo with Cervical Spondylosis

Indian Journal of Otology ¦ Volume 25 ¦ Issue 4 ¦ October-December 2019 H. Gayathri, Gurushekar Rose Preethi, Paul Mary P. Christina Departments of ENT and Community Medicine, ACS Medical College and Hospital, Chennai, Tamil Nadu, India Abstract Background and Objectives: Cervical spondylosis and BPPV often co-exist in older population. As GRM doesn’t involve hyperextension of neck, which is better avoided among patients with cervical spine pathology, we decided to assess the outcome of GRM in patients with cervical spondylosis Read More

A multidisciplinary approach to the management of the adult balance – dizzy patient

ENT & Audiology News | MAY/JUNE 2020 | VOL 29 NO 2 | BY RICHARD GANS AND KIMBERLY RUTHERFORD Richard Gans and Kimberly Rutherford, renowned experts from The American Institute of Balance, give their team’s overview of the stages involved in reaching ‘diagnosis based strategies’. For the dizzy patient, this focuses on patient-centred clinical pathways for individualised therapy with an MDT approach. Download Article

Demographic and clinical characteristics of BPPV patients: a retrospective large cohort study of 1599 patients

  Journal of Otolaryngology-ENT Research Volume 12 Issue 1 – 2020 Chua KWD, Gans RE, Spinks S Abstract Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common peripheral vestibular problems, characterized by intense positionally provoked vertigo with a brief duration. However, studies of BPPV with demographic analyses are scant. To our knowledge, this is the largest retrospective analysis of BPPV patients seen in a 5-year period (2015-2019). The aim of this study is to document the demographic data Read More