Otology & Neurotology最新文献

{"title":"Clinical Evidence on the Influence of Implant Position onto Maximum Output with the Bonebridge Bone Conduction Implant.","authors":"Daniel Schurzig, Rebecca Iseke, Hannes Maier, Nils Kristian Prenzler, Thomas Lenarz, Mohammad Ghoncheh","doi":"10.1097/MAO.0000000000004533","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004533","url":null,"abstract":"<p><strong>Hypothesis: </strong>In bone conduction implantation, the position of the implant influences the audiological benefit of the patient.</p><p><strong>Background: </strong>One way of treating hearing loss is the implantation of bone conduction implants (BCIs), which effectively transmit vibrations through the skull bone to the cochlea given that the implant transducer is securely fixated. Laboratory research on the efficacy of bone conduction sound transmission found that a closer proximity of the transducer to the ipsilateral cochlea yields significantly higher cochlear promontory vibrations and hence, higher stimulation efficacy. Up to now, this finding has not been reproduced using clinical data such as the functional or effective gain.</p><p><strong>Methods: </strong>The present, retrospective study was conducted on a cohort of 28 BCI patients to correlate the implantation site of the BC transducer, derived from clinical postoperative imaging and defined in a standardized coordinate system, with maximum output values that are exclusively based on a novel calculation method only employing clinical audiological data.</p><p><strong>Results: </strong>It could be shown that the efficacy of BCI stimulation is in fact correlated with the transducer distance to the cochlea, and that this correlation is frequency dependent. Furthermore, the longitudinal distance of the transducer and the ipsilateral external auditory canal is negatively correlated with the maximal output while the sagittal distance is not.</p><p><strong>Conclusion: </strong>The present study is hence the first one to clinically demonstrate the significance of BCI placement for maximizing patient benefit, which should be considered during the preoperative planning of bone conduction implantation.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Preoperative Patient Expectations in the Cochlear Implant Evaluation Process.","authors":"Christian M Shannon, Joshua E Fabie, Brittany N Hand, Kara C Schvartz-Leyzac, Judy R Dubno, Theodore R McRackan","doi":"10.1097/MAO.0000000000004521","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004521","url":null,"abstract":"<p><strong>Objective: </strong>To determine what factors are associated with patients' preoperative expectations of their postimplantation experience with their cochlear implant devices.</p><p><strong>Study design: </strong>A retrospective review of data from a prospectively maintained cochlear implant database was conducted.</p><p><strong>Setting: </strong>Tertiary, academic hospital.</p><p><strong>Patients: </strong>Adult patients who underwent a cochlear implant candidacy evaluation and completed the CIQOL-Expectations validated instrument were included.</p><p><strong>Results: </strong>Age was found to have a weak association with increased expectations in some domains of the CIQOL-Expectations. There were some very weak associations identified between a patient's baseline functional ability and their expectations in the corresponding domain. However, no modifiable variable included in the current analysis was found to have an association with patient expectations.</p><p><strong>Conclusion: </strong>Understanding patient expectations is a critical part of the success of medical interventions such as cochlear implantation. However, they are complex and likely multifactorial, and future studies are needed to look at other potential variables that may contribute to their formation.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Image Quality Improvement in MRI of Cochlear Implants and Auditory Brainstem Implants After Metal Artifact Reduction Techniques.","authors":"Arianna Winchester, Justin Cottrell, Emily Kay-Rivest, David Friedmann, Sean McMenomey, J Thomas Roland, Mary Bruno, Mari Hagiwara, Gul Moonis, Daniel Jethanamest","doi":"10.1097/MAO.0000000000004517","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004517","url":null,"abstract":"<p><strong>Objective: </strong>Observe if metal artifact reduction (MAR) techniques applied to magnetic resonance imaging (MRI) performed on patients with cochlear implants (CI) or auditory brainstem implants (ABI) improves image quality.</p><p><strong>Study design: </strong>Retrospective review.</p><p><strong>Setting: </strong>Tertiary care center.</p><p><strong>Patients: </strong>Patients with auditory implants who underwent clinical MRI before and after the application of MAR techniques previously described.</p><p><strong>Interventions: </strong>From September 2022 to March 2023, patients who underwent brain or internal auditory canal (IAC) MRI with and without MAR were identified. Sequences included T1 and T2 weighted with turbo-spin-echo (TSE) correction and fluid-attenuation inversion recovery (FLAIR). Images were analyzed for visualization of intracranial structures by two neuroradiologists.</p><p><strong>Main outcome measures: </strong>Visibility of 14 structures graded on a four-point Likert scale. Average scores per structure and sequence were compared using paired two-tailed t-tests and change in mode score.</p><p><strong>Results: </strong>Ten patients underwent pre- and post-MAR MRI. Six had a unilateral CI, three had a unilateral ABI, and one had an ABI and CI. Three patients had four devices with the internal magnet removed for both scans. All structures had significantly improved visibility on post-MAR scan except ipsilateral parietal and occipital lobes and contralateral inner ear. Mode score increased from 2 to 4 for the ipsilateral occipital lobe and from 3 to 4 for the ipsilateral semicircular canals, brainstem, and cerebellar peduncles. Significant improvement was seen in all sequences except for ipsilateral structures on T1w axial precontrast and contralateral structures on T1w coronal postcontrast. ABIs did not improve as much as CIs because they scored better on the pre-MAR scan.</p><p><strong>Conclusions: </strong>MAR techniques improve image quality for patients with MRI-compatible implants with magnets. Benefits may be more evident in CIs than ABIs.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Patient Motivation Behind Device Removal in Cochlear Implant Patients.","authors":"Robert J Macielak, Lisa Zhang, Diana Hallak, Desi P Schoo, Edward E Dodson, Oliver F Adunka, Yin Ren","doi":"10.1097/MAO.0000000000004513","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004513","url":null,"abstract":"<p><strong>Objective: </strong>To assess indications behind cochlear implant (CI) removal without subsequent re-implantation.</p><p><strong>Patients: </strong>Patients who underwent CI explantation between January 2013 and December 2022.</p><p><strong>Interventions: </strong>Explantation of CI device without ipsilateral re-implantation.</p><p><strong>Main outcome measures: </strong>Indications for and audiometric testing before CI explantation.</p><p><strong>Results: </strong>Within a cohort of 743 CI patients, 35 patients (5%) underwent implant revision. A total of 16 patients (2%) underwent explantation without ipsilateral re-implantation (mean age of 51 yr [SD, 23]), and 19 (3%) underwent explantation followed by re-implantation (mean age of 51 yr [SD, 18]). The average time between CI insertion and removal was 56 months (SD, 72). Six explantations (6 of 16 [37.5%]) were due to infectious complications: 2 (13%) did not undergo re-implantation given severe life-threatening comorbidities, 1 (6%) underwent simultaneous contralateral implantation, 1 (6%) experienced insurance barriers preventing re-implantation, and 2 (13%) were lost to follow-up. Ten patients (10 of 16 [62.5%]) underwent device removal for noninfectious indications, including 6 (38%) with non-audiologic symptoms attributed to CI, 3 (19%) who required repeated MRIs and desired avoidance of peri-imaging procedures, and 1 (6%) who had poor audiometric outcomes due to cochlear ossification. Patients who were not re-implanted performed worse on AzBio (35% versus 59%; p = 0.10) and CNC testing (27% versus. 70%; p = 0.02) after initial successful implantation compared with those who did undergo re-implantation.</p><p><strong>Conclusions: </strong>Patients undergo explantation for a variety of reasons, with ill-defined symptoms being the motive in over half of the cases. These desires are compounded by poor postoperative audiometric performance, which likely hinders the patient's desire to undergo re-implantation.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proton Radiotherapy for Unilateral Vestibular Schwannoma-A Histopathological Study.","authors":"Sheng-Chiao Lin, Anbuselvan Dharmarajan, MengYu Zhu, Felipe Santos","doi":"10.1097/MAO.0000000000004532","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004532","url":null,"abstract":"","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Results in Cochlear Implantation in Single-Sided Deafness in Children and Adult Populations.","authors":"Ángel Ramos Macías, Juan Carlos Falcón González, Silvia Borkoski Barreiro, Nadia Falcón Benítez, Joyce Tang, Annery Peguero, Pino Delia Domínguez Trujillo, Ángel Ramos de Miguel","doi":"10.1097/MAO.0000000000004527","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004527","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to show the long-term effects of cochlear implant as a treatment in both children and adults with acquired single-sided deafness.</p><p><strong>Study design: </strong>Observational, descriptive, cross-sectional.</p><p><strong>Setting: </strong>Tertiary referral center.</p><p><strong>Patients: </strong>21 children and 20 adults with SSD.</p><p><strong>Interventions: </strong>Unilateral CI.</p><p><strong>Methods: </strong>Speech detection thresholds and disyllabic words test (65 dB SPL) were performed in the modalities azimuth (S0), signal CI side (SCI), and signal on the normal hearing (SNH). The normal ear was masked with both white noise of +10 dB of the hearing threshold and plugging the same ear, whereas the speech testing was performed using the cochlear implant wireless system.</p><p><strong>Results: </strong>All results were obtained up to 48 months after the activation of the sound processor. All study subjects showed improvements in speech test results in all conditions tested. Word recognition in noise in children improved from 42.76% at 6 months after activation of the sound processor to 76.38% at 48 months in the S0 condition, from 50 to 78.10% in the SCI condition, and from 38.48 to 66.48% in the SNH modality. Regarding adults, word recognition in noise went from 45.40% at 6 months of activation of the sound processor to 73.40% at 48 months in the S0 condition, from 52.60 to 76.20% in the SCI condition, and from 43.60 to 64.80% in the SCI condition (p < 0.001). The average duration of use of the speech processor daily was 11 hours in children and 9.4 hours in adults.</p><p><strong>Conclusion: </strong>When comparing children's performance with adults', progressive improvement in speech discrimination compared with adults was observed.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lindsay-Hemenway Syndrome Involving the Horizontal Semicircular Canal: Some Considerations Upon Residual Canal Afferents in BPPV Secondary to an Ipsilateral Acute Unilateral Vestibulopathy.","authors":"Salvatore Martellucci, Pasquale Malara, Giulio Pagliuca, Andrea Castellucci","doi":"10.1097/MAO.0000000000004512","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004512","url":null,"abstract":"<p><strong>Objective: </strong>To describe benign paroxysmal positional vertigo (BPPV) involving the horizontal semicircular canal (HSC) after ipsilateral acute unilateral vestibulopathy (AUVP) and to advance some hypotheses on the underlying pathomechanism.</p><p><strong>Study design: </strong>Retrospective case review.</p><p><strong>Setting: </strong>Tertiary referral center.</p><p><strong>Patients: </strong>A case series of four patients presenting with HSC-BPPV after ipsilateral AUVP with impaired function of the involved canal at the video-head impulse test (vHIT). Ipsilateral sudden sensorineural hearing loss was detected in one case.</p><p><strong>Intervention: </strong>All patients underwent bedside examination and an instrumental audio-vestibular assessment, including pure-tone audiometry, vHIT, and vestibular-evoked myogenic potentials. Three patients underwent bithermal caloric testing (BCT). Brain magnetic resonance imaging scan was performed in all cases. Successful canal repositioning was conducted.</p><p><strong>Main outcome measure: </strong>Clinical presentation with video recording and audio-vestibular findings.</p><p><strong>Results: </strong>Secondary HSC-BPPV was observed from 3 weeks to 8 months after the onset of ipsilateral AUVP. Two cases exhibited an apogeotropic variant, whereas two cases presented with a geotropic form. All BPPV resolved after physical therapy. Instrumental audio-vestibular assessment revealed vestibulo-ocular reflex (VOR) impairment for the affected canal on vHIT in all cases, whereas BCT revealed a borderline normal canal paresis.</p><p><strong>Conclusions: </strong>BPPV after an AUVP can involve the HSC. A reduced VOR gain in the high-frequency domain attributable to a damage of the type I (phasic) afferents does not exclude the occurrence of a BPPV if type II (tonic) afferents are preserved or slightly impaired. Clinicians should not neglect to evaluate for provoking nystagmus in patients with vestibular symptoms and vestibular hypofunction on vHIT.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ménière's Disease With a Prior Diagnosis of Idiopathic Sudden Hearing Loss.","authors":"Minerva Rodriguez-Martín, Rocío González-Aguado, Trinidad Dierssen Sotos, Carmelo Morales-Angulo","doi":"10.1097/MAO.0000000000004508","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004508","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the percentage of patients with idiopathic sudden hearing loss later diagnosed with Ménière's disease. It also seeks to identify predictive factors for Ménière's diagnosis and compare treatment responses between first-time Ménière's patients and those with idiopathic sudden hearing loss.</p><p><strong>Study design: </strong>A prospective observational study.</p><p><strong>Setting: </strong>Tertiary referral center.</p><p><strong>Patients: </strong>Cohort of apparently idiopathic sudden hearing loss patients over a period of 30 years (1992-2022).</p><p><strong>Intervention: </strong>Identification of Ménière's disease cases during follow-up.</p><p><strong>Main outcome measure: </strong>Determining how many were subsequently diagnosed with definitive Ménière's disease.</p><p><strong>Results: </strong>From a cohort of 369 patients with apparently idiopathic sudden hearing loss treated over 30 years, 15 (4%) developed definite Ménière's disease.The predictive factors for developing Ménière's disease were mild to moderate hearing loss, vertigo, tinnitus at the initial episode, and a predominantly ascending audiometric curve.When comparing treatment responses, patients with Ménière's disease showed better outcomes than those with idiopathic sudden hearing loss.</p><p><strong>Conclusions: </strong>Cases of sudden sensorineural hearing loss that represent the first episode of definite Ménière's disease are rare. A moderate hearing loss at low frequencies, accompanied by tinnitus and vertigo during an episode of sudden hearing loss, should raise suspicion for Ménière's disease rather than idiopathic sudden hearing loss. Patients with sudden hearing loss secondary to an episode of Ménière's disease tend to show significantly greater hearing improvement compared with those with idiopathic sudden hearing loss.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Diagnostic Accuracy of the Side-Lying Test for Posterior Canal BPPV: Sensitivity and Specificity Analysis.","authors":"Neetu Rani Dhiman, Dharma Raj, Vyom Gyanpuri, Anand Kumar, Varun Kumar Singh, Abhishek Pathak, Rameshwar Nath Chaurasia, Vijay Nath Mishra, Deepika Joshi","doi":"10.1097/MAO.0000000000004505","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004505","url":null,"abstract":"<p><strong>Background objective: </strong>The side-lying (SL) test is a diagnostic maneuver used to identify posterior canal benign paroxysmal positional vertigo (PC-BPPV). It is often used as an alternative to the Dix-Hallpike (DH) test, particularly for patients who have mobility limitations. The objective of this study is to evaluate the sensitivity and specificity of the SL test in diagnosing PC-BPPV compared with the DH test.</p><p><strong>Methods: </strong>A cohort of 320 patients presenting with symptoms of vertigo underwent both the SL test and the DL maneuver. Two groups-group A and group B-were randomly formed. Group A patients were assessed with first DL test, then SL test and group B patients were assessed with first SL then DH. The diagnostic accuracy of the SL test was assessed by determining its sensitivity and specificity in relation to the DH test, which served as the reference standard.</p><p><strong>Results: </strong>The SL test demonstrated 95.1% sensitivity and 96.97% specificity in detecting posterior canal BPPV, with comparable diagnostic accuracy to the DH test. Chi-square test (140.34) also emphasized the statistical significance of these results. The DH test's AUC of 0.902 shows a high capacity to differentiate between cases with and without BPPV. On the other hand, the SL test shows even greater performance in distinguishing between BPPV and non-BPPV cases, as seen by its higher AUC of 0.960.</p><p><strong>Conclusion: </strong>The SL test is a viable alternative to the DH test, offering similar sensitivity and specificity in diagnosing posterior canal BPPV. Its use may benefit patients with physical limitations.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Large-Scale Video Head Impulse Test Data: The Coronary Artery Risk Development in Young Adults (CARDIA) Study.","authors":"Jessie N Patterson, Meredith E Adams, Manuel Vicente, Pamela J Schreiner, Kristen L Janky","doi":"10.1097/MAO.0000000000004510","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004510","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the quality and agreement of video head impulse test (vHIT) data collected by technicians without extensive vestibular training compared with audiologists.</p><p><strong>Study design: </strong>Review of data collected at a single time point (year 35) as part of a larger observational cohort study known as the Coronary Artery Risk Development in Young Adults (CARDIA) study.</p><p><strong>Setting: </strong>Birmingham, AL; Chicago, IL; Minneapolis, MN; and Oakland, CA.</p><p><strong>Participants: </strong>464 participants (928 ears) enrolled in the CARDIA Study, 5 novice technicians who completed vHIT, and 3 audiologists with extensive vHIT training.</p><p><strong>Intervention: </strong>Each technician completed a 2-hour, virtual vHIT training. Technicians recorded average head velocity, gain, presence/absence of saccades, and a data quality rating. Three audiologists with extensive vestibular experience re-reviewed all data for comparison. Data categorized as noisy and/or having saccades were reanalyzed to determine whether data cleaning improved interpretation.</p><p><strong>Main outcomes measures: </strong>vHIT gain, quality of vHIT results, presence of saccades.</p><p><strong>Results: </strong>A total of 823 ears (88.7%) were classified as normal, 10 ears (1.1%) were abnormal, 13 ears (1.4%) had low gain without saccades, and 82 ears (9%) had high gain (>1.2). The most frequent artifact was high gain. Data cleaning increased the percentage of saccades and changed the interpretation of eight participants (1.7%).</p><p><strong>Conclusions: </strong>Novice examiners can administer vHIT with online training and an initial practice period. Additional training on how to identify artifacts and clean data can improve population-based vHIT testing.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}