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  4. Republication de : Evaluation of bone-conducted oVEMPs using frontal medial and mastoid stimulations
 
research article

Republication de : Evaluation of bone-conducted oVEMPs using frontal medial and mastoid stimulations

Ghavami, S.
•
Kayal, M.  
•
Maire, R.
April 1, 2025
Annales Francaises d'Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale

Aims: To determine the optimal stimulation intensity for frontal stimulation with a modified slit lamp holder and to compare the reliability and symmetry of bone-conducted ocular vestibular evoked myogenic potentials (oVEMPs) using two stimulation sites: frontal medial and mastoid. Methods: This observational study included 33 healthy volunteers (15 women, 18 men; mean age 24.5 years) at the University Hospital of Lausanne. Participants underwent otoneurological assessments, and those with normal results were included. Bone-conducted oVEMPs were recorded using a Brüel and Kjaer mini-shaker type 4810. A modified slit lamp holder was used for frontal stimulation to ensure consistent application pressure, freeing the examiner's hands. Mastoid stimulation was performed manually. Results: The best reproducibility of oVEMP recordings was observed at 70 dB nHL. Frontal stimulation demonstrated lower dispersion of data and lower asymmetry ratios of latencies (up to 7%) and amplitudes (up to 50%) compared to mastoid stimulation (up to 40% for latencies). Single stimulations at both frontal and mastoid sites were sufficient to obtain reliable measurements of both utricles. Conclusion: Frontal stimulation at 70 dB nHL using a modified slit lamp holder is recommended for bone-conducted oVEMP recordings due to its superior reproducibility, comfort, and reliability. This study establishes a new standard for optimal stimulation intensity and supports the use of frontal stimulation in clinical practice.

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Type
research article
DOI
10.1016/j.aforl.2025.03.001
Scopus ID

2-s2.0-105000354011

Author(s)
Ghavami, S.

Centre Hospitalier Universitaire Vaudois

Kayal, M.  

École Polytechnique Fédérale de Lausanne

Maire, R.

Centre Hospitalier Universitaire Vaudois

Date Issued

2025-04-01

Published in
Annales Francaises d'Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale
Volume

142

Issue

2

Start page

63

End page

68

Subjects

Intensity of stimulation

•

oVEMPs

•

Pressure conditions

•

Support

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SEL-ENS  
Available on Infoscience
April 2, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/248467
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