Dr. Margaret Aron
Dr. Justin Lui (BETD update)
Objectives:
Differentiate common causes of aural fullness by analyzing history, physical exam findings, and paraclinical tests and selecting the most likely diagnosis (e.g., obstructive ETD, patulous ET, Menière’s disease, superior semicircular canal dehiscence, TMJ).
Develop a stepwise evaluation and management plan for a patient presenting with persistent aural fullness.
Apply current evidence-based indications and contraindications to decide when Balloon Eustachian Tuboplasty is appropriate.
Dr. Kevan Lu
Glynnis Tidball
Objectives:
Describe the clinical features of non-pulsatile tinnitus and summarize current guidelines for imaging and referral to appropriate sub-specialties.
Differentiate somatosensory tinnitus from other subtypes of tinnitus, including recognition that somatosensory tinnitus may present as pulsatile, and identify key diagnostic features of secondary tinnitus.
Discuss tinnitus management within the framework of key tinnitus modifiers — including hearing function, psychological state, and somatosensory function — and describe the role of multidisciplinary care in optimizing patient outcomes
Dr. Justin Chau
Dr. Darren Tse
Objectives:
Apply targeted history-taking and physical exam maneuvers (e.g., jugular compression, auscultation) to localize the likely source of pulsatile tinnitus.
Develop a stepwise diagnostic and management algorithm for a patient presenting with pulsatile tinnitus.
Select appropriate initial imaging studies (CTA, MRA, MRV, temporal bone CT) based on specific clinical scenarios and suspected etiologies.
Moderator: Margaret Aron
Panelists: Dr. Darren Tse, Dr. Justin Lui, Dr. Euna Hwang (additional panelists to be announced)
Objectives:
Elicit key diagnostic features: Identify and prioritize historical features that distinguish vestibular migraine from BPPV, Ménière disease, and central causes of vertigo
Develop an initial management plan: Construct an evidence-based acute and preventive treatment strategy.
Avoid common diagnostic pitfalls: Recognize red flags and common misdiagnoses through audience polling or discussion of “near-miss” cases.
Dr. Darren Tse
Objectives:
Select appropriate vestibular tests: decide which vestibular investigations (e.g., vHIT, VEMP, calorics, rotary chair, posturography) are indicated for specific clinical presentations
Interpret common test patterns: Analyze sample vestibular test results to distinguish peripheral vs central pathology and unilateral vs bilateral vestibular hypofunction.
Integrate test results into clinical reasoning: Synthesize vestibular testing data with history and examination findings to refine differential diagnoses rather than relying on tests in isolation
Recognize limitations and pitfalls:Identify false positives, false negatives, and situations where vestibular testing is unlikely to change management
Dr. Euna Hwang
Cristiane Yamayabashi
Objectives:
Demonstrate proper technique for bedside vestibular examination tests, including gaze, head impulse, head shake, Fukuda stepping, and positional maneuvers to diagnose benign paroxysmal positional vertigo (BPPV).
Perform and interpret positional maneuvers, such as Dix-Hallpike and supine head roll tests, to differentiate posterior, superior, and lateral canal BPPV.
Review canalith/particle-repositioning maneuvers for BPPV, such as Epley, Semont, BBQ roll (Lempert), and others.