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Customized Vestibular Rehabilitation for Vestibular Schwannoma Excision via Translabyrinthine Approach: A Single-Center Experience.
Fancello, Virginia; Rebecchi, Elisabetta; Giannuzzi, Anna Lisa; Fancello, Giuseppe; Faroldi, Simone; Rosani, Luca; Sanna, Mario.
Afiliación
  • Fancello V; Gruppo Otologico, Otology and Skull Base Surgery, Via Morigi, 41, 29121 Piacenza, Italy.
  • Rebecchi E; ENT Department, University Hospital of Sassari-AOU SS, 07100 Sassari, Italy.
  • Giannuzzi AL; Gruppo Otologico, Otology and Skull Base Surgery, Via Morigi, 41, 29121 Piacenza, Italy.
  • Fancello G; Gruppo Otologico, Otology and Skull Base Surgery, Via Morigi, 41, 29121 Piacenza, Italy.
  • Faroldi S; Gruppo Otologico, Otology and Skull Base Surgery, Via Morigi, 41, 29121 Piacenza, Italy.
  • Rosani L; Gruppo Otologico, Otology and Skull Base Surgery, Via Morigi, 41, 29121 Piacenza, Italy.
  • Sanna M; Gruppo Otologico, Otology and Skull Base Surgery, Via Morigi, 41, 29121 Piacenza, Italy.
J Clin Med ; 13(14)2024 Jul 17.
Article en En | MEDLINE | ID: mdl-39064221
ABSTRACT

Objectives:

To evaluate the effectiveness of intensive customized vestibular rehabilitation after vestibular schwannoma (VS) excision.

Methods:

52 patients who underwent VS removal via a translabyrinthine approach from 2020 to 2022 were involved in this study. Bedside examination, video head impulse test (vHIT), functional head impulse test (fHIT), and the dizziness handicap inventory (DHI) were performed before and after the rehabilitation, which consisted of 10 sessions of specifically designed vestibular, visual, and physical integrated training.

Results:

After rehabilitation, the vHIT showed overall unchanged values on the affected and healthy side. In contrast, the scores of fHIT, which explores the higher connection of the vestibular system with visual and cerebellar pathways, improved on both the pathological and healthy sides after training (p-value 0.004 and 0.000, respectively). The effectiveness of the rehabilitation was reinforced by the DHI scores, which were considerably lower after training.

Conclusions:

To our knowledge, this is the first study to explore fHIT outcomes after removal of VS, estimating the impact of rehabilitation on the overall compensation process. The outcomes support the role of extensive postsurgical rehabilitation in the compensatory process, even just a few days after surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza