Surdités brusques

Pons, Y.; Maffert, A.; Raynal, M.; Ukkola-Pons, E.; Lepage, P.; Kossowski, M.

doi:10.1016/s0246-0351(13)58457-1

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…Information from peripheral sensors is integrated at the central level. A neurosensory conflict results from the integration of both a real movement and an false perception of immobility [3][4][5]. It provokes neurovegetative reactions sometimes extremely debilitating.…”

Section: Introductionmentioning

confidence: 99%

Preliminary study after two years of use of Nausicaa system for seasickness management

Maffert

Beust²

2022

IMH

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Background: Seasickness is a set of clinical signs from which approximately 30% of the population suffers with a severity and frequency that varies according to the state of the sea and according to each individual susceptibility. The medical treatments are varied but may provide annoying side effects. Vestibular rehabilitation has all its advantages in cases of professional unfitness. The objective of this work is to validate the first results of rehabilitation of seasickness using the Nausicaa system developed at the HIA in Brest. Materials and methods: Retrospective study of the first 2 years of use of the Nausicaa system, from commissioning in November 2016 until December 2018. Twenty-eight patients were treated exclusively by the Nausicaa system with a minimum of 1 year of follow-up and a minimum of 90 days at sea per year. Results: The average intensity of seasickness of these sailors decreased from 8.96 to 4.5 and the inability to hold one's post from 8.36 to 3.7 after 10 rehabilitation sessions using this system. The Graybiel and Miller score was markedly improved (decrease of 2 to 3 grades) in 62% of the patients, and partially improved (decrease of one grade) in 20% of the sailors. A total of 82% of rehabilitated patients were improved by this treatment without any side effects. Conclusions: The analysis of the results on a retrospective questionnaire describing clinical signs 1 year later is necessarily subjective. The use of visual analogic scales from 1 to 10 concerning the intensity of motion sickness and the inability to hold one's position seems to be an easy way to assess discomfort. The comparison with other series seems to show a slight superiority of the Nausicaa system compared to optokinetic rehabilitation or by visual simulator alone.

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Section: Introductionmentioning

confidence: 99%

Preliminary study after two years of use of Nausicaa system for seasickness management

Maffert

Beust²

2022

IMH

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“…1, 2 Dans 70 à 90 % des cas, l'anamnèse, le status et le bilan étiolo gique exhaustif sont non contributifs, 2,3 la SB est alors dite « idiopathique » (SBI), ce qui la distingue des autres formes de SB pour lesquelles une étiologie est retrouvée. 2,4 Le pronostic de la récupération auditive dépend de certains facteurs dont l'âge, la gravité de la perte auditive, la forme de la courbe audiométrique, l'association à des vertiges ou des acouphènes, et la nonrécupération après 2 semaines. 2,4, 5 Le traitement est basé sur la corticothérapie en première intention, bien que son efficacité reste encore débattue.…”

Section: Introduction Et Définitionunclassified

Surdité brusque : diagnostic et prise en charge en 2021

Gombert¹,

George²,

Maire³

et al. 2021

Revue Médicale Suisse

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Cet article propose, par une revue de la littérature, une synthèse actualisée de l'évaluation initiale du traitement et du suivi des surdités brusques (SB). La SB est une surdité de perception survenant en moins de 72 heures, et d'au moins 30 dBHL sur 3 fréquences consécutives. De diagnostic clinique, le bilan étiologique vise à dépister les étiologies connues comme un traumatisme acoustique, un accident vasculaire ou un neurinome de l'acoustique. Plusieurs hypothèses physiopathologiques existent pour les SB idiopathiques : virale, vasculaire, pressionnelle et autoimmune. Le traitement est controversé vu la récupération spontanée fréquente, néanmoins la corticothérapie reste largement acceptée. Le pronostic dépend de la sévérité de la perte auditive, l'âge, les vertiges et la forme de la courbe audiométrique. En cas de séquelles auditives, différentes options de réhabilitation auditive sont disponibles. Sudden sensorineural hearing loss : Diagnosis and management in 2021This article proposes, through a literature review, an updated summary of the initial evaluation, treatment and follow-up of sudden sensorineural hearing loss (SSNHL) based on current guidelines. SSNHL occurs within 72h with at least 30dBHL loss over 3 consecutive frequencies. Diagnosis is medical in the emergency setting, the etiological workup aims at treating known causes, while different pathophysiological hypotheses exist for idiopathic SSNHL. Controversy exists regarding optimal management due to frequent spontaneous recovery. However, corticotherapy remains widely accepted. Prognosis depends on initial severity, age, associated vertigo and shape of the audiometric curve. Hearing rehabilitation in proposed for significant residual hearing loss.

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Estrategia diagnóstica ante una sordera del adulto

Kossowski¹

2019

EMC - Otorrinolaringología

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Surdités brusques

Cited by 3 publications

References 36 publications

Preliminary study after two years of use of Nausicaa system for seasickness management

Preliminary study after two years of use of Nausicaa system for seasickness management

Surdité brusque : diagnostic et prise en charge en 2021

Estrategia diagnóstica ante una sordera del adulto

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