The comparison between intratympanic gentamicin prehabilitation and postoperative virtual reality exposure to standard vestibular training in patients with vestibular schwannoma Article Swipe
Markéta Bonaventurová
,
Zuzana Balatková
,
Květoslav Červený
,
Rudolf Černý
,
Veronika Bandúrová
,
Vladimír Koucký
,
Lenka Peterková
,
Zdeněk Fík
,
Martin Komarc
,
Eva Mrázková
,
Jan Plzák
,
Zdeněk Čada
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00405-024-08891-8
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00405-024-08891-8
Objective Resection of the vestibular schwannoma causes acute peripheral vestibular loss. The process of central compensation starts immediately afterward. The rehabilitation goal is to support this process and restore the quality of life. Materials and methods In this prospective single-center study, 67 consecutive patients underwent vestibular schwannoma resection (40 females, mean age 52 ± 12 years). The patients were divided into three groups: the prehabilitation with intratympanic gentamicin group, the virtual reality group (optokinetic stimulation via virtual reality goggles in the first ten days after the surgery), and the control group. All patients were examined with objective methods and completed questionnaires before the prehabilitation, before the surgery, at the hospital discharge, and after three months. Results Intratympanic gentamicin prehabilitation leads ipsilaterally to a significant aVOR reduction in all semicircular canals ( p < 0.050), the increase of the unilateral weakness in air calorics ( p = 0.026), and loss of cVEMPs responses ( p = 0.017). Prehabilitation and postoperative exposure to virtual reality scenes improved the patient’s perception of vertigo problems according to Dizziness Handicap Inventory ( p = 0.039 and p = 0.076, respectively). These findings conform with the optokinetic testing results, which showed higher slow phase velocities at higher speeds (40 deg/s) in both targeted groups compared to the control group. Conclusion Preoperative intratympanic gentamicin positively affects peripheral vestibular function, influencing balance perception after VS resection. In long-term follow-up, prehabilitation and postoperative exposure to virtual reality improve patients’ quality of life in the field of vertigo problems.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00405-024-08891-8
- OA Status
- hybrid
- Cited By
- 1
- References
- 44
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401477800
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401477800Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00405-024-08891-8Digital Object Identifier
- Title
-
The comparison between intratympanic gentamicin prehabilitation and postoperative virtual reality exposure to standard vestibular training in patients with vestibular schwannomaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-10Full publication date if available
- Authors
-
Markéta Bonaventurová, Zuzana Balatková, Květoslav Červený, Rudolf Černý, Veronika Bandúrová, Vladimír Koucký, Lenka Peterková, Zdeněk Fík, Martin Komarc, Eva Mrázková, Jan Plzák, Zdeněk ČadaList of authors in order
- Landing page
-
https://doi.org/10.1007/s00405-024-08891-8Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1007/s00405-024-08891-8Direct OA link when available
- Concepts
-
Vestibular system, Prehabilitation, Schwannoma, Medicine, Vestibule, Audiology, Neuroma, Physical medicine and rehabilitation, Surgery, Physical therapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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44Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| primary_location.raw_source_name | European Archives of Oto-Rhino-Laryngology |
| primary_location.landing_page_url | https://doi.org/10.1007/s00405-024-08891-8 |
| publication_date | 2024-08-10 |
| publication_year | 2024 |
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