ENT Institute and Department of Otorhinolaryngology, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China.
The Therapy Center of Sleep-Disordered Breathing, Eye and ENT Hospital, Fudan University, Shanghai, 201112, China.
Eur Arch Otorhinolaryngol. 2023 Apr;280(4):1603-1610. doi: 10.1007/s00405-022-07616-z. Epub 2022 Aug 28.
To assess awareness and recognition of vestibular function tests in otorhinolaryngology medical staffs, especially the vestibular evoked myogenic potentials (VEMP) testing in patients with obstructive sleep apnea (OSA).
A survey was delivered via either email or a social media app. The medical staffs of the Chinese Medical Association of Otolaryngology Head and Neck Surgery from various branches were enrolled. Study data were collected and managed with an online data collection tool.
A total of 1781 emails and 623 social media messages were sent to 2404 otorhinolaryngology medical staffs. One hundred and fifty-seven of them participated in the survey, including 24 via emails and 133 via the social media app. Regarding the knowledge of VEMP, only 59 (37.6%) of them agreed that OSA could be related to vertigo/dizziness/imbalance and 28 (17.8%) believed that OSA could result in VEMP abnormalities and would factor this in diagnosing the impairment of the vestibular function of OSA patients. A total of 7.6% of the respondents had never heard of the VEMP tests. Responses regarding the minimum age at which VEMP are possible ranged from younger than 6 months to greater than 18 years of age. Beliefs regarding the utility and reliability of VEMP varied, with 'unsure' being the most frequent response. In addition, only 17.8% of otolaryngologists indicated some access to the VEMP test.
Knowledge and beliefs about the role of VEMP in diagnosing otolithic organ dysfunction caused by OSA in otorhinolaryngology vary widely. It is important for otorhinolaryngology medical staffs to learn the latest literatures and updated knowledge through continuing education.
评估耳鼻喉科医务人员对前庭功能检查的认识和了解，特别是阻塞性睡眠呼吸暂停（OSA）患者的前庭诱发肌源性电位（VEMP）检查。
通过电子邮件或社交媒体应用程序进行调查。招募中国耳鼻喉科协会各分支机构的耳鼻喉科医务人员。使用在线数据收集工具收集和管理研究数据。
共向 2404 名耳鼻喉科医务人员发送了 1781 封电子邮件和 623 条社交媒体消息。其中 157 人参与了调查，其中 24 人通过电子邮件，133 人通过社交媒体应用程序。关于 VEMP 的知识，只有 59 人（37.6%）同意 OSA 可能与眩晕/头晕/失衡有关，28 人（17.8%）认为 OSA 可导致 VEMP 异常，并将其纳入诊断 OSA 患者前庭功能障碍的因素。总共有 7.6%的受访者从未听说过 VEMP 测试。关于进行 VEMP 的最小年龄的回答范围从 6 个月以下到 18 岁以上。对于 VEMP 的效用和可靠性的看法各不相同，“不确定”是最常见的回答。此外，只有 17.8%的耳鼻喉科医生表示可以进行 VEMP 测试。
耳鼻喉科医务人员对 VEMP 在诊断 OSA 引起的耳石器功能障碍中的作用的认识和看法差异很大。耳鼻喉科医务人员通过继续教育了解最新文献和更新知识非常重要。
