Objective

Vertigo and dizziness are a frequent reason for medical consultation. However, diagnostic and therapeutic management is sometimes limited, and clinicians are faced with many unmet needs. The purpose of this study was to identify and prioritize these needs.

Methods

A questionnaire methodology was used to determine the need for innovation in vestibular disorder management. The questionnaire was sent to 19 teams in French-speaking ENT centers. We measured the concordance of the panel of experts on 56 questions related to the different vestibular pathologies encountered and the desired modalities of innovations.

Results

Thirteen questions were identified as priorities. The needs expressed by the experts had better knowledge of the pathophysiological mechanisms of the main diseases encountered and the development of new treatment modalities. Particular attention was paid to inner ear imaging techniques and the development of specific electrophysiology techniques.

Discussion

Some of the anticipated innovations are already under development, such as new inner ear fluid imaging techniques (hydrops visualization using MRI) or in situ treatments (transtympanic dexamethasone or gentamicin injections). Others, such as new electrophysiological techniques, are still not fully developed

Conclusion

This study provides a snapshot of the needs of the medical profession in vestibular disorder management. It highlights a real concern of the attending personnel, as well as a critical need to optimize the means of diagnosing and treating patients with vestibular disorders.

中文翻译：

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前庭疾病：临床医师耳鼻喉科对研究和创新需求的看法

目的

眩晕和头晕是医疗咨询的常见原因。但是，诊断和治疗管理有时受到限制，临床医生面临许多未满足的需求。这项研究的目的是确定这些需求并确定其优先级。

方法

使用问卷调查方法确定前庭疾病管理中的创新需求。问卷已发送给法语ENT中心的19个小组。我们测量了专家小组在与所遇到的不同前庭病变以及创新所需方式相关的56个问题上的一致性。

结果

确定了13个问题作为优先事项。专家们表达的需求对所遇到的主要疾病的病理生理机制以及新治疗方法的发展有了更好的了解。特别注意内耳成像技术和特定电生理技术的发展。

讨论区

一些预期的创新已经在开发中，例如新的内耳液成像技术（使用MRI进行积液可视化）或原位治疗（鼓膜地塞米松或庆大霉素注射液）。其他诸如新的电生理技术等仍未完全开发

结论

这项研究概述了医学界前庭疾病管理中的需求。它突出了与会人员的真正关注，以及对优化诊断和治疗前庭疾病患者的手段的迫切需求。