Way of realization vestibular rehabilitation in patients after stapedotomy
Since stapes surgery became widespread, new approaches to vestibular rehabilitation of patients after stapedotomy should be investigated. A «Brain-Port» device with biofeedback based on a non-invasive cranial nerve neuromodulation technology showed efficacy in restoring the balance in the vestibular disorders of various origins and is used as modern procedure in neurorehabilitation. The results of treatment of fifty-six patients with otosclerosis in order to assess the effectiveness of this technology in vestibular rehabilitation of patients after a piston type stapedotomy are considered in this paper. Besides, the effects of such factors as the type of anaesthesia and CO2-laser usage were studied. The computerised dynamic posturography with eyes closed and dynamic gait index study were used to evaluate the balance function. The results showed the effectiveness of the «Brain-Port» device for vestibular rehabilitation of patients after stapedotomy. The procedures with general anaesthesia combined with CO2-laser had less impact on balance and gait. Patients with vestibular rehabilitation had more rapid recovery in balance and gait then patients without any rehabilitation procedures. It makes further research in rehabilitation patients after ear surgery associated with vestibular disorders more promising.