[Testing of the macula induced vestibuloocular reflex--possibilities and problems in the clinical routine].
BACKGROUND
During the last years, an increasing number of papers is presented dealing with diseases and diagnostic procedures of the macula function. On the other hand, there are just a few distinct test setups for this purpose. In clinical routine, this kind of test system has to be efficient and effective to diagnostic and therapeutic findings.


METHODS
The presented test setup includes examination of the semicircular canals by means of harmonic acceleration pendular rotation test and the bilateral, bithermal test as well as otolith function tests i. e. off vertical axis rotation (OVAR) and eccentric rotation. From March 1999 to May 2000 522 patients with dizziness were examined.


RESULTS
Otolith tests results could be assessed in a range between 87 % to 95 % of the cases. The quality failure rate was significantly higher than in findings of semicircular canals examination procedures. The major caused technical problem were artifacts. Looking for the diagnostic relevance of the method, 37 % of the patients. Suffering from dizziness and who have normal findings in cupula VOR testing procedures revealed isolated macular dysfunctions.


CONCLUSIONS
The relevance for diagnostic is demonstrated. Otolith function tests can be applied in clinical routine and give relevant information for diagnosis and treatment. Macula test procedures are still sophisticated. Technical development of VOG-recording is necessary for their general application in otology.
Düwel
P
P
Klinik für Hals-, Nasen- und Ohrenheilkunde und Plastische Kopf- und Halschirurgie des Universitätsklinikums Aachen. pduewel@ukaachen.de
Engelke
J C
JC
Westhofen
M
M
D008267:Acoustic Maculae / Q000503:physiopathology*; D003937:Diagnosis, Differential; D004584:Electronystagmography; D006801:Humans; D021621:Imaging, Three-Dimensional; D008575:Meniere Disease / Q000175:diagnosis* / Q000503:physiopathology; D010037:Otolithic Membrane / Q000503:physiopathology; D011237:Predictive Value of Tests; D012027:Reflex, Vestibulo-Ocular / Q000502:physiology*; D012399:Rotation; D014724:Vestibular Function Tests / Q000379:methods*; D014741:Video Recording