Update on diagnostic procedures in third window syndromes. German version

Dlugaiczyk, Julia and Roesch, Sebastian and Mantokoudis, Georgios (2025) Update on diagnostic procedures in third window syndromes. German version. SPRINGER, NEW YORK.

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Abstract

Background The diagnosis of third window syndromes often poses a challenge in clinical practice. Objective This paper provides an up-to-date overview of diagnostic procedures in third window syndromes, with special emphasis on superior canal dehiscence syndrome (SCDS), large vestibular aqueduct syndrome (LVAS), and X-chromosomal malformation of the cochlea. Materials and methods A literature search was performed in PubMed up to December 2023. Furthermore, a selection of the authors' own cases is presented. Results Audiovestibular tests for the diagnosis of third window syndromes are most often reported for patients with SCDS in the literature. In this context, cut-off values with different sensitivities and specificities have been defined for different outcome parameters of vestibular evoked myogenic potentials. Current developments include the application of electrocochleography, broadband tympanometry, video head impulse testing, and vibration-induced nystagmus. Genetic analyses are increasingly applied in LVAS. Conclusion The diagnosis of third window syndromes is always based on the synthesis of patients' symptoms, clinical signs, audiovestibular test results, and imaging.

Item Type: Other
Uncontrolled Keywords: SEMICIRCULAR CANAL DEHISCENCE; ENLARGED VESTIBULAR AQUEDUCT; EVOKED MYOGENIC POTENTIALS; HEARING-LOSS; ELECTROCOCHLEOGRAPHY; VIBRATION; VEMPS; Audiometry; Electrocochleography; Enlarged vestibular aqueduct; Superior canal dehiscence syndrome; Vestibular evoked myogenic potentials
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 31 Mar 2026 05:56
Last Modified: 31 Mar 2026 05:56
URI: https://pred.uni-regensburg.de/id/eprint/65053

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