[Near infrared stimulation of the equilibrium organ--first clinical experiences].
BACKGROUND
A new method for the stimulation of the organ of equilibrium by means of a broad-scale and monochromatic near infrared emission was developed. This method should be examined within the framework of a pilot study, evaluated and its clinical possible applications examined.


METHODS
Healthy probands (n = 15), patients with a radical cave of the ear (n = 5), patients with a defect of the tympanic membrane (n = 5) and spontaneous nystagmus (n = 5) were examined. In healthy probands an irritation with broad-scale as well as monochromatic near infrared (NIR) was performed and compared with a water irrigation (44 degrees, 50 ml in 30 seconds). The subjective, local feelings during the application and the appearance of giddiness according to irritation were recorded and the nystagmus was registered by means of videonystagmography. In patients with radical cave of the ear and tympanic membrane defects, a broad-scale NIR-irritation before a comparative irritation with warm air (44 degrees) was performed exclusively.


RESULTS
In all healthy probands, a nystagmus reaction could be seen with broad-scale and monochromatic NIR. Compared to the hot water irritation slow phase velocity (SPV) was decreased however registrable by means of Frenzel glasses and electronystagmography during the culmination stage. In patients with radical cave (n = 4) and tympanic membrane defects (n = 3) showing paradoxical nystagmus reaction during hot air irritation, a nystagmus to the site of stimulation resulted by means of light calorisation. In patients with a spontaneous nystagmus an attenuation (n = 1) or inversion (n = 2) could be achieved by NIR-radiation.


CONCLUSIONS
The method of the NIR-radiation is suitable in clinical practice for the caloric test proofing warm reaction. Vaporization cold does not occur. The application of heat charm is better proportionable and steerable than during air irritation. The procedure is sterile, noiseless and non-contact. Difficulties in interpretation of results of vestibular tests because of evaporation coldness do not occur.
Universitäts-HNO-Klinik, Friedrich-Schiller-Universität Jena. Leif.Walther@med.uni-jena.de
L E
LE
Walther
W-D
WD
Schmidt
H
H
Gudziol
A
A
Scheibe
B
B
Scheiding
B
B
Rössler
D
D
Fassler
E
E
Beleites
D002150:Caloric Tests / Q000295:instrumentation*; D004584:Electronystagmography / Q000295:instrumentation*; D006801:Humans; D007259:Infrared Rays; D008416:Mastoid / Q000601:surgery; D009759:Nystagmus, Pathologic / Q000175:diagnosis / Q000503:physiopathology; D009760:Nystagmus, Physiologic / Q000502:physiology*; D010865:Pilot Projects; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D012016:Reference Values; D012680:Sensitivity and Specificity; D018058:Tympanic Membrane Perforation / Q000175:diagnosis / Q000503:physiopathology; D015837:Vestibular Diseases / Q000175:diagnosis* / Q000503:physiopathology; D014725:Vestibular Nerve / Q000503:physiopathology; D014741:Video Recording / Q000295:instrumentation*