Rehabilitation of patients with vestibular disorders after simultaneous nose and ear surgery

Kochergin G.A.

Kafedra otolaringologii Voenno-meditsinskoĭ akademii im. S.M. Kirova MO RF, Sankt-Peterburg

Dvorianchikov V.V.

Kafedra otolaringologii Voenno-meditsinskoĭ akademii im. S.M. Kirova MO RF, Sankt-Peterburg

Syroezhkin F.A.

Kafedra nervnykh bolezneĭ Voenno-meditsinskoĭ akademii im. S.M. Kirova, Sankt-Peterburg

Rehabilitation of patients with vestibular disorders after simultaneous nose and ear surgery

Authors:

Kochergin G.A., Dvorianchikov V.V., Syroezhkin F.A.

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Journal: Russian Rhinology. 2015;23(4): 29‑33

DOI: 10.17116/rosrino201523429-33

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To cite this article:

Kochergin GA, Dvorianchikov VV, Syroezhkin FA. Rehabilitation of patients with vestibular disorders after simultaneous nose and ear surgery. Russian Rhinology. 2015;23(4):29‑33. (In Russ.)
https://doi.org/10.17116/rosrino201523429-33

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Vestibular disorders limit the possibility of simultaneous nose and ear surgery in a number of cases. Objective: to enhance the efficiency of simultaneous nose and ear surgery and postoperative rehabilitation measures in patients with vestibular disorders. Patients and methods. 19 patients were examined after nasal functional procedures carried out concurrently with ear surgery for vestibular disorders. A control group consisted of 15 patients with vestibular disorders who had undergone only ear surgery (stapedoplasty). Prolonged drainage of the middle ear was performed in all the patients during postoperative nasal packing. Vestibular rehabilitation was carried out using a BrainPort device to monitor balance by estimating the dynamic stability index in the standing position with the eyes closed and by calculating the dynamic gait index. Rehabilitation involved two 20-min daily sessions at least 4.5-hour interval for 7 days. Results. On postoperative day 3, there were signs of compensation of vestibular dysfunction in the patients undergoing vestibular rehabilitation. The gait index became better on day 1 and normal on day 7. Conclusion. The procedure for prolonged middle ear and eustachian tube drainages permits simultaneous nose and ear surgery in patients with vestibular disorders, by ensuring the adequate function of the eustachian tube on the first postoperative day. Vestibular rehabilitation using noninvasive brainstem neuromodultion allows balance stability in patients with vestibular disorders on day 3 after nose and ear surgery and promotes gait recovery by the 7th postoperative day.

Keywords:

simultaneous nose and ear surgery

vestibular disorders

prolonged intranasal drainage of the eustachian tube

vestibular rehabilitation

Authors:

Kochergin G.A.

Kafedra otolaringologii Voenno-meditsinskoĭ akademii im. S.M. Kirova MO RF, Sankt-Peterburg

Dvorianchikov V.V.

Kafedra otolaringologii Voenno-meditsinskoĭ akademii im. S.M. Kirova MO RF, Sankt-Peterburg

Syroezhkin F.A.

Kafedra nervnykh bolezneĭ Voenno-meditsinskoĭ akademii im. S.M. Kirova, Sankt-Peterburg

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