机构：[1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China研究所耳鼻咽喉科研究所首都医科大学附属北京同仁医院首都医科大学附属同仁医院
Background: The value of caloric tests in benign paroxysmal positional vertigo (BPPV) patients is unclear.Objectives: To analyze the features and clinical significance of caloric tests in BPPV patients.Materials and methods: About 2192 patients (256 BPPV and 1936 non-BPPV) who complained of dizziness triggered by movement, accompanied by the symptom of hearing loss or a history of vertigo, participated in this prospective clinical study. All subjects received a caloric test, 213 BPPV patients underwent follow-up for at least 6 months after canalith repositioning procedures (CRPs).Results: (1) The abnormal canal paresis (CP) prevalence of BPPV was 57%. (2) The curative rate of single CRP decreased during follow-up from 90.1% after 7 days to 61% after 6 months and was significantly lower in patients with (54.1%) than in those without (70.1%) an abnormal CP at 6 months post-treatment (p=.01). (3) The recurrent rate was significantly higher in BPPV patients with abnormal CP (25.2%) than with normal CP (12.5%; p=.017).Conclusions and significance: Patients with abnormal CP needed more CRPs and were more prone to relapse. The value of the caloric test in treatment planning and predicting recurrence in BPPV patients should be emphasized.
基金：
This work was supported by the Capital Citizen Health Program to
Foster from Beijing Municipal Science & Technology Commission
[No. Z151100003915100].
第一作者机构：[1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China[2]Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China
通讯作者：
通讯机构：[1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China[2]Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China[*1]Beijing Institute of Otolaryngology, No. 17, HouGouHuTong, DongCheng District, Beijing 100005, China
推荐引用方式(GB/T 7714)：
Bi Jingtao,Liu Bo,Zhang Yi,et al.Caloric tests in clinical practice in benign paroxysmal positional vertigo[J].ACTA OTO-LARYNGOLOGICA.2019,139(8):671-676.doi:10.1080/00016489.2019.1614220.
APA：
Bi, Jingtao,Liu, Bo,Zhang, Yi,Duan, Jinping&Zhou, Qian.(2019).Caloric tests in clinical practice in benign paroxysmal positional vertigo.ACTA OTO-LARYNGOLOGICA,139,(8)
MLA：
Bi, Jingtao,et al."Caloric tests in clinical practice in benign paroxysmal positional vertigo".ACTA OTO-LARYNGOLOGICA 139..8(2019):671-676
