Assessment of vestibular function in patients with chronic middle ear disease using the VHIT and VEMP test

Abstract

and treatment, with ultrasonography guidance depending on the depth of the node involved, and intravenous second-line antibiotic treatment is started. We were able to identify causative organism in 62% of cases, which is within the range reported in the literature (36%-87%). 1,[4][5][6]9,10 If there is suppuration recurrence, we perform more needle aspirations. Following such a management protocol, in our group of 60 patients, there was a 98% probability of avoiding surgical drainage. Only 1 patient needed surgical treatment for progression and cutaneous fistulisation.There are many advantages reported for this kind of management, such as avoiding: neck incision and consequent scars, risk of complications of surgery in case of deep or parapharyngeal lymph nodes, general anaesthesia in most cases and painful dressing change as well as removal of drains. 1,2,4,5 Moreover, surgery compared with needle aspiration may not shorten hospitalisation as it was reported by other investigators, 1,2,4,5 because the duration of i.v. antibiotic treatment in our institution does not depend on surgical or aspirational strategy. | Clinical applicability of the studyNeedle aspiration is an effective and safe method of treatment of suppurated cervical lymphadenitis. It provides material to perform bacterial culture and may be curative when associated with medical therapy. We advocate that it could become the first-line treatment for suppurated cervical lymphadenitis.

Presentation of dizziness in individuals with chronic otitis media: data from the multinational collaborative COMQ-12 study

“…Ideally, one should evaluate vestibular function formally to provide clinical correlation for patient-reported symptoms [8]. Several vestibular tests, such as the video head impulse test (vHIT) and bone-conduction vestibular evoked myogenic potential (BC-VEMP), bypass the middle ear, are noninvasive and could feasibly be integrated within a vestibular clinic appointment as part of pre-operative assessment or serial monitoring [34]. However, as the present study represents a secondary analysis of a prospectively obtained dataset, collecting further follow-up data was not possible.…”

Minimally invasive approach to suppurated cervical lymphadenitis in children: Our experience on 60 patients

“…We were able to identify causative organism in 62% of cases, which is within the range reported in the literature (36%-87%). 1,[4][5][6]9,10 If there is suppuration recurrence, we perform more needle aspirations. Following such a management protocol, in our group of 60 patients, there was a 98% probability of avoiding surgical drainage.…”