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[以外周性前庭病的客观评估用于科学依据的耳鼻咽喉科评估]

[Objective evaluation of peripheral vestibulopathies for scientifically founded otorhinolaryngologic assessment].

作者信息

Walther Leif Erik

机构信息

HNO-Gemeinschaftspraxis, Main-Taunus-Zentrum, 65843, Sulzbach (Taunus), Deutschland.

出版信息

HNO. 2025 Oct;73(10):690-698. doi: 10.1007/s00106-025-01643-y. Epub 2025 Jul 10.

Abstract

Scientific progress in the diagnosis and treatment of dizziness syndromes has led to a paradigm shift in diagnostic approaches, establishment of a unified international vocabulary, and standardized criteria. Objective methods, including vestibular evoked myogenic potentials and the video head impulse test, are now widely used in otorhinolaryngologic assessments. According to these advancements, new evaluation criteria based on objective measures have been developed. These provide greater clarity in the legal context compared to previous evaluations which were based primarily on subjective standards, thus making the assessments more plausible and comprehensible. It is now possible to definitively substantiate a defined health disorder or functional impairment in the field of otorhinolaryngology with full evidence based on objective criteria.

摘要

头晕综合征诊断和治疗方面的科学进展已导致诊断方法发生范式转变,建立了统一的国际词汇表和标准化标准。包括前庭诱发肌源性电位和视频头脉冲试验在内的客观方法目前广泛应用于耳鼻喉科评估。基于这些进展,已制定了基于客观测量的新评估标准。与以前主要基于主观标准的评估相比,这些标准在法律背景下更加清晰,从而使评估更具可信度和可理解性。现在有可能根据客观标准,以充分的证据明确证实耳鼻喉科领域中确定的健康障碍或功能损害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3183/12457511/0179ac79f941/106_2025_1643_Fig1_HTML.jpg

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