To evaluate the effectiveness of intensive customized vestibular rehabilitation after vestibular schwannoma (VS) excision. 52 patients who underwent VS removal via a translabyrinthine approach from 2020 to 2022 were involved in this study. Bedside examination, video head impulse test (vHIT), functional head impulse test (fHIT), and the dizziness handicap inventory (DHI) were performed before and after the rehabilitation, which consisted of 10 sessions of specifically designed vestibular, visual, and physical integrated training.
View Article and Find Full Text PDFFront Neurol
November 2020
The diagnosis of benign paroxysmal positional vertigo (BPPV) involving the lateral semicircular canal (LSC) is traditionally entrusted to the supine head roll test, also known as supine head yaw test (SHYT), which usually allows identification of the pathologic side and BPPV form (geotropic vs. apogeotropic). Nevertheless, SHYT may not always allow easy detection of the affected canal, resulting in similar responses on both sides and intense autonomic symptoms in patients with recent onset of vertigo.
View Article and Find Full Text PDFPositional downbeat nystagmus (pDBN) represents a relatively frequent finding. Its possible peripheral origin has been widely ascertained. Nevertheless, distinguishing features of peripheral positional nystagmus, including latency, paroxysm and torsional components, may be missing, resulting in challenging differential diagnosis with central pDBN.
View Article and Find Full Text PDFBackground: We investigated the role of the soft tissue tract between the primary tumor and the neck lymph nodes, the "T-N tract," in patients with tongue squamous cell carcinoma at an advanced stage.
Methods: We performed a compartmental tongue surgery in 233 patients. Cumulative incidence of relapses and overall survival curves were compared by T-N tract involvement.
Purpose: In the last decades, literature has shown an increasing interest in round windows (RW) anatomy due to its pivotal role in deafness surgery. The high variability of this anatomical region, with particular regard to the round windows niche (RWN), has been studied by several authors through different methods of investigation. The aim of the present research was to radiologically examine the morphological variability of the RWN and to link the imaging findings to the endoscopic view.
View Article and Find Full Text PDFObjectives: The Occupational Physician in accordance with the Prevention and Protection of AUSL Romagna (Rimini) has enabled for some years, a Clinic for the psychological job environmental discomfort addressed to employment, with expressions of the psychophysical disorders, caused by work related stress. Health is defined by the current legislation as a state of psychophysical and social wellbeing.
Methods: The main purpose of Clinic for the psychological distress in working environment is to provide listening space and psychological support for employees.
Background: Surgical management of Ménière's disease (MD) is recommended in case of medical and intratympanic treatment failures. Translabyrinthine vestibular nerve section has been considered the gold standard for denervation procedures in order to control vertigo attacks, although at the cost of sacrificing residual hearing. To the best of our knowledge, no work has been published with regard to a group of patients submitted to translabyrinthine vestibular neurectomy and simultaneous cochlear implant for MD.
View Article and Find Full Text PDFIn recent years, several titration or on-demand protocols using low-dose repeated intratympanic (IT) gentamicin injections have been adopted for the vertigo control in unilateral medical refractory Menière's disease (MD). Because of the frequent recurrence and the need to treat the patients several times, it is difficult to strictly follow the 1995 AAO-HNS criteria to classify the results. The Kaplan-Meier analysis provides an effective and simpler method to address these concerns.
View Article and Find Full Text PDFBurnout is one important consequence of worker stress and is associated with lower moral, reduced job performance, low productivity, absenteeism, job turnover. The aim of this study was to evaluate the burnout level and all its related aspects among health professionists in the Rimini county. All personnel described their experiences in the Maslach Burnout Inventory test (791 questionnaires) and in the Mobbing Perception test (791 questionnaires).
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