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

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

Ghavami, S.
•
Kayal, M.  
•
Maire, R.
2024
European Annals of Otorhinolaryngology, Head and Neck Diseases

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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10.1016_j.anorl.2024.09.010.pdf

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Main Document

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http://purl.org/coar/version/c_970fb48d4fbd8a85

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openaccess

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CC BY

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1.34 MB

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Adobe PDF

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6eea6c0bce27510592a442b264c293e9

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