Balance Disorders

Diagnostic Testing

Audiometry
- an audiometry evaluates hearing ability by measuring an individual's threshold hearing level and ability to distinguish between pitch and sound intensity
Oto-acoustic Emissions
- hair cell funtion within the inner ear is evaluated by measuring emissions from the cochlea in response to stimulation 
Videonystagmongraphy
- eye movements are tracked through the use of infared cameras in order to determine if disease of the inner ear (vestibular disease) is causing a balance/dizziness disorder
Auditory Brainstem Testing
- determines if a hearing disorder is being caused by a problem with the hearing nerve. Measures the electrical responses of the hearing nerve in response to stimulation
Fistula Test
- used to determine the prescence of a labyrinthine fistula,  an abnormal opening in the inner ear which can lead to hearing loss and balance/dizziness disorders
GANS Balance Testing
- a functional balance test which evaluates balance through various controlled movements

Procedures

Intratympanic steroids
- steroids are delievered into the inner ear by means of a small needle. This procedure is often used to treat inner ear disease and sudden hearing loss, or SHL. Occasionally this procedure is used to treat Meniere's disease, but more typically intratympanic gentamicin proves more effective.
Intratympanic gentamicin (Meniere's disease)
- small doses of gentamicin are injected into the inner ear by means of a small needle in order to lessen episodes of vertigo. This procedure is usually only used to treat severe cases of episodic vertigo.
In-Office Treatment for Positional Vertigo
- involves the use of canalith repositioning procedures, or movements of the head and torso designed to loosen particles within the inner ear
  R-5: Benign Paroxysmai Positional Vertigo

Please read and complete the following prior to any balance testing:

            VNG Instructions                       VNG Patient Questionnaire

Consent form (to be completed prior to appointment):

         Intratympanic Membrane Injection Consent