Air caloric testing in otitis media (Preliminary studies) Symposium

Value and cost analysis of recent ear tests

M. M. Paparella, L. Rybak, W. L. Meyerhoff

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

On certain occasions it becomes inportant to evaluate vestibular function in a patient with otitis media. The potential application of the air caloric test in evaluating such patients was examined. Patients with unilateral otitis media before and after surgery were studied to answer certain clinical questions. More questions were raised than answers provided. The preliminary conclusions from this study are: 1. Patients with tympanostomy tubes or small perforation of one ear may show a caloric response in the perforated ear equal to that of the intact ear. 2. Patients with a large tympanic membrane perforation on one side may show hyperactive caloric responses on the perforated side. 3. Patients with a moist ear may show inverted horizontal nystagmus to warm air caloric testing. This applies to patients with a large perforation or mastoidectomy cavity. 4. Patients with a dry open mastoid or fenestration cavity are likely to show a hyperactive caloric response on the side of previous surgery, accompanied by vegetative symptoms. This size of the cavity appears to be less important than the presence of the cavity per se. 5. Patients may be safely tested in the early postoperative period.

Original languageEnglish (US)
Pages (from-to)708-714
Number of pages7
JournalLaryngoscope
Volume89
Issue number5 I
StatePublished - 1979

Fingerprint

Otitis Media
Ear
Air
Costs and Cost Analysis
Caloric Tests
Tympanic Membrane Perforation
Middle Ear Ventilation
Pathologic Nystagmus
Mastoid
Postoperative Period

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Air caloric testing in otitis media (Preliminary studies) Symposium : Value and cost analysis of recent ear tests. / Paparella, M. M.; Rybak, L.; Meyerhoff, W. L.

In: Laryngoscope, Vol. 89, No. 5 I, 1979, p. 708-714.

Research output: Contribution to journalArticle

Paparella, M. M. ; Rybak, L. ; Meyerhoff, W. L. / Air caloric testing in otitis media (Preliminary studies) Symposium : Value and cost analysis of recent ear tests. In: Laryngoscope. 1979 ; Vol. 89, No. 5 I. pp. 708-714.
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