Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology

Objective: To gather the technical definitions, diagnostic accuracy and scientific evidence of otoneurological exams in a succinct, easily accessible document, so that decision-making is as effective as possible. Method: This paper was the results of the II Forum of Otoneurology, held on May 27, 201...

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Main Authors: Márcio Cavalcante Salmito, Ligia Oliveira Gonçalves Morganti, Alessandra Ramos Venosa, Fernando Freitas Ganança, Maurício Malavasi Ganança, Raquel Mezzalira, Roseli Saraiva Moreira Bittar, Bernardo Faria Ramos, Claudia Marques Dias, Danilo Martin Real, Denise Utsch Gonçalves, Francisco Carlos Zuma e Maia, Karen de Carvalho Lopes, Mônica Alcantara de Oliveira Santos, Paula Lobo Furtado Machado, Rafael Saba Albertino, Renato Valerio Rodrigues Cal, Ricardo Schaffeln Dorigueto, Rodrigo Cesar Silva, Rogério Castro Borges de Carvalho, Sérgio Albertino
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Brazilian Journal of Otorhinolaryngology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1808869425000370
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author Márcio Cavalcante Salmito
Ligia Oliveira Gonçalves Morganti
Alessandra Ramos Venosa
Fernando Freitas Ganança
Maurício Malavasi Ganança
Raquel Mezzalira
Roseli Saraiva Moreira Bittar
Bernardo Faria Ramos
Claudia Marques Dias
Danilo Martin Real
Denise Utsch Gonçalves
Francisco Carlos Zuma e Maia
Karen de Carvalho Lopes
Mônica Alcantara de Oliveira Santos
Paula Lobo Furtado Machado
Rafael Saba Albertino
Renato Valerio Rodrigues Cal
Ricardo Schaffeln Dorigueto
Rodrigo Cesar Silva
Rogério Castro Borges de Carvalho
Sérgio Albertino
author_facet Márcio Cavalcante Salmito
Ligia Oliveira Gonçalves Morganti
Alessandra Ramos Venosa
Fernando Freitas Ganança
Maurício Malavasi Ganança
Raquel Mezzalira
Roseli Saraiva Moreira Bittar
Bernardo Faria Ramos
Claudia Marques Dias
Danilo Martin Real
Denise Utsch Gonçalves
Francisco Carlos Zuma e Maia
Karen de Carvalho Lopes
Mônica Alcantara de Oliveira Santos
Paula Lobo Furtado Machado
Rafael Saba Albertino
Renato Valerio Rodrigues Cal
Ricardo Schaffeln Dorigueto
Rodrigo Cesar Silva
Rogério Castro Borges de Carvalho
Sérgio Albertino
author_sort Márcio Cavalcante Salmito
collection DOAJ
description Objective: To gather the technical definitions, diagnostic accuracy and scientific evidence of otoneurological exams in a succinct, easily accessible document, so that decision-making is as effective as possible. Method: This paper was the results of the II Forum of Otoneurology, held on May 27, 2018, in Sao Paulo, during the III Combined Meeting + Four Otology, as part of the Otoneurology Forums project, undertaken by the Department of Otoneurology of the Brazilian Association of Otorhinolaryngology (ABORL-CCF) since 2017. Each paper gathered here was a literature review written by specialists from all over Brazil, based on the latest practices and scientific evidence related to diagnostic tests in Otoneurology. Each author presented their paper and a debate about it took place among the participants, generating an accepted-by-all interpretation paper after each presentation. Subsequently, the papers were reviewed by representatives of the country’s Otoneurology training department for final adjustments and standardization. For each paper presented, ABORL-CCF prepared a recommendation, taking into account existing scientific evidence and the best practices, according to the experts’ opinion. Using the full paper, that was published on the website of the Brazilian Association of Otorhinolaryngology and Maxillofacial Surgery, this summarized version was written as a scientific review article. Outcome: The paper is presented as a practical, objective and complete guide on the main tests used to evaluate patients with otoneurological complaints, from bedside physical examinations to the most modern complementary tests done with sophisticated equipment. Conclusion: With this scientific review, the authors hope to aid the organization of the professional’s behavior, from the bedside assessment to the choice of assessment methods, including requisitions, accomplishments, and understanding tests and diagnostic procedures.
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spelling doaj-art-cdf45e6506d2455d928f471765eb66922025-08-20T02:25:41ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-05-0191310159410.1016/j.bjorl.2025.101594Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of OtoneurologyMárcio Cavalcante Salmito0Ligia Oliveira Gonçalves Morganti1Alessandra Ramos Venosa2Fernando Freitas Ganança3Maurício Malavasi Ganança4Raquel Mezzalira5Roseli Saraiva Moreira Bittar6Bernardo Faria Ramos7Claudia Marques Dias8Danilo Martin Real9Denise Utsch Gonçalves10Francisco Carlos Zuma e Maia11Karen de Carvalho Lopes12Mônica Alcantara de Oliveira Santos13Paula Lobo Furtado Machado14Rafael Saba Albertino15Renato Valerio Rodrigues Cal16Ricardo Schaffeln Dorigueto17Rodrigo Cesar Silva18Rogério Castro Borges de Carvalho19Sérgio Albertino20Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia Cérvico-Facial, Disciplina de Otologia e Otoneurologia, São Paulo, SP, Brazil; Corresponding author.Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, BrazilUniversidade de Brasília (UNB), Brasília, DF, BrazilUniversidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia Cérvico-Facial, Disciplina de Otologia e Otoneurologia, São Paulo, SP, BrazilUniversidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia Cérvico-Facial, Disciplina de Otologia e Otoneurologia, São Paulo, SP, BrazilUniversidade de Campinas (UNICAMP), Disciplina de Otorrinolaringologia Cabeça e Pescoço, Campinas, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Setor de Otoneurologia, São Paulo, SP, BrazilUniversidade Federal do Espírito Santo (UFES), Vitória, ES, BrazilHospital Madre Teresa, Belo Horizonte, MG, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Setor de Otoneurologia, São Paulo, SP, BrazilUniversidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, BrazilClínica Maia, Canoas, RS, BrazilUniversidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia Cérvico-Facial, Disciplina de Otologia e Otoneurologia, São Paulo, SP, BrazilIrmandade da Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil; Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo, São Paulo, SP, BrazilClínica Equilíbrio, BrazilHospital das Forças Armadas de Brasília, Brasília, DF, BrazilCentro Universitário do Estado do Pará - CESUPA, Belém, PA, BrazilHospital Paulista, São Paulo, SP, BrazilUniversidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia Cérvico-Facial, Disciplina de Otologia e Otoneurologia, São Paulo, SP, BrazilClínica Borges de Carvalho Otorrinos, Rio de Janeiro, RJ, BrazilUniversidade Federal Fluminense (UFF), Rio de Janeiro, RJ, BrazilObjective: To gather the technical definitions, diagnostic accuracy and scientific evidence of otoneurological exams in a succinct, easily accessible document, so that decision-making is as effective as possible. Method: This paper was the results of the II Forum of Otoneurology, held on May 27, 2018, in Sao Paulo, during the III Combined Meeting + Four Otology, as part of the Otoneurology Forums project, undertaken by the Department of Otoneurology of the Brazilian Association of Otorhinolaryngology (ABORL-CCF) since 2017. Each paper gathered here was a literature review written by specialists from all over Brazil, based on the latest practices and scientific evidence related to diagnostic tests in Otoneurology. Each author presented their paper and a debate about it took place among the participants, generating an accepted-by-all interpretation paper after each presentation. Subsequently, the papers were reviewed by representatives of the country’s Otoneurology training department for final adjustments and standardization. For each paper presented, ABORL-CCF prepared a recommendation, taking into account existing scientific evidence and the best practices, according to the experts’ opinion. Using the full paper, that was published on the website of the Brazilian Association of Otorhinolaryngology and Maxillofacial Surgery, this summarized version was written as a scientific review article. Outcome: The paper is presented as a practical, objective and complete guide on the main tests used to evaluate patients with otoneurological complaints, from bedside physical examinations to the most modern complementary tests done with sophisticated equipment. Conclusion: With this scientific review, the authors hope to aid the organization of the professional’s behavior, from the bedside assessment to the choice of assessment methods, including requisitions, accomplishments, and understanding tests and diagnostic procedures.http://www.sciencedirect.com/science/article/pii/S1808869425000370DizzinessOtoneurologyVestibular function tests
spellingShingle Márcio Cavalcante Salmito
Ligia Oliveira Gonçalves Morganti
Alessandra Ramos Venosa
Fernando Freitas Ganança
Maurício Malavasi Ganança
Raquel Mezzalira
Roseli Saraiva Moreira Bittar
Bernardo Faria Ramos
Claudia Marques Dias
Danilo Martin Real
Denise Utsch Gonçalves
Francisco Carlos Zuma e Maia
Karen de Carvalho Lopes
Mônica Alcantara de Oliveira Santos
Paula Lobo Furtado Machado
Rafael Saba Albertino
Renato Valerio Rodrigues Cal
Ricardo Schaffeln Dorigueto
Rodrigo Cesar Silva
Rogério Castro Borges de Carvalho
Sérgio Albertino
Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology
Brazilian Journal of Otorhinolaryngology
Dizziness
Otoneurology
Vestibular function tests
title Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology
title_full Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology
title_fullStr Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology
title_full_unstemmed Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology
title_short Otoneurological evaluation: definitions and scientific evidence of bedside assessment and complementary exams. Outcomes of the II Brazilian Forum of Otoneurology
title_sort otoneurological evaluation definitions and scientific evidence of bedside assessment and complementary exams outcomes of the ii brazilian forum of otoneurology
topic Dizziness
Otoneurology
Vestibular function tests
url http://www.sciencedirect.com/science/article/pii/S1808869425000370
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