Recent developments in 3 key balance disorders: BPPV, Meniere’s disease, PPPD
Professor Peter Rea
- Consultant ENT Surgeon, University Hospitals of Leicester
Barts ENT Online Teaching Programme,
29th June 2020
Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Otology - Disorders of Balance
01:32 - Overview
03:57 - Disorders of balance spectrum and key diagnoses
06:58 - BPPV
10:13 - Exercises for BPPV
11:47 - New treatments for BPPV
15:28 - Surgery for BPPV and video
19:10 - Menieres disease - classification
21:45 - Epidemiology of Menieres
22:47 - New concepts in Menieres treatment
24:20 - Beta histine v intratympanic steroids
31:06 - Persistent postural-perceptual dizziness
32:29 - Computerised dynamic posturography
33:49 - PPPD - Symptoms and diagnosis
35:29 - PPPD pathophysiology
36:29 - Individualised treatment
Q&A
38:49 - Grommet insertion and intratympanic steroids in Menieres
45:30 - Duration of beta-histine treatment in Menieres
47:05 - VFTs prior to intratympanic steroids
52:40 - When is surgery appropriate for Menieres
57:34 - Screening for osteoporosis in recurrent BPPV
59:19 - Criteria for surgery in BPPV
01:02:47 - Cervicogenic vertigo
01:07:49 - PPPD and psychosomaticity
01:12:10 - Provision of balance services in Covid times
