Vestibular disorders: clinician ENT perspective on the need for research and innovation
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Vestibular disorders: clinician ENT perspective on the need for research and innovation A. Weckel1 · M. J. Esteve Fraysse1 · M. Marx1 · B. Fraysse1 · Y. Gallois1 · C. Chabbert2 Received: 22 January 2020 / Revised: 14 September 2020 / Accepted: 22 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objective Vertigo and dizziness are a frequent reason for medical consultation. However, diagnostic and therapeutic management is sometimes limited, and clinicians are faced with many unmet needs. The purpose of this study was to identify and prioritize these needs. Methods A questionnaire methodology was used to determine the need for innovation in vestibular disorder management. The questionnaire was sent to 19 teams in French-speaking ENT centers. We measured the concordance of the panel of experts on 56 questions related to the different vestibular pathologies encountered and the desired modalities of innovations. Results Thirteen questions were identified as priorities. The needs expressed by the experts had better knowledge of the pathophysiological mechanisms of the main diseases encountered and the development of new treatment modalities. Particular attention was paid to inner ear imaging techniques and the development of specific electrophysiology techniques. Discussion Some of the anticipated innovations are already under development, such as new inner ear fluid imaging techniques (hydrops visualization using MRI) or in situ treatments (transtympanic dexamethasone or gentamicin injections). Others, such as new electrophysiological techniques, are still not fully developed Conclusion This study provides a snapshot of the needs of the medical profession in vestibular disorder management. It highlights a real concern of the attending personnel, as well as a critical need to optimize the means of diagnosing and treating patients with vestibular disorders. Keywords Vertigo · Dizziness · Innovation · Survey · Peripheral vestibular disorders
Introduction Vertigo and dizziness: very high prevalence Vertigo and dizziness are a frequent reason for medical consultation. In France, there are 300,000 consultations per week, which is more than 15 million per year [1]. Among patients with vertigo and dizziness, the prevalence Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00415-020-10242-6) contains supplementary material, which is available to authorized users. * C. Chabbert christian.chabbert@univ‑amu.fr 1
ENT and Neurootology Department, Purpan University Hospital, Pierre Paul Riquet Building, Toulouse, France
Pathophysiology and Therapy of Vestibular Disorders, UMR7260 Sensory and Cognitive Neuroscience, Marseille, France
2
of vestibular disorders remains difficult to assess, as there is great variability between studies. The study by Bosner et al. (literature review) found a consultation prevalence for vertigo ranging from 1 to 15.5%. The etiologies identified were vestibular vertigo (5.4–42.1%),
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