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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(2); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(2): 210-6.
The Closed Loop Caloric Test
Woon Kyo Chung, MD, Yun Young Lee, MD, Woo Kyung Chung, MD, and Jun Hyung Euom, MD
Department of Otorhinolaryngology, College of Medicine, Ewha Womans University, Seoul, Korea
폐쇄회로 온도안진검사
정운교 · 이윤영 · 정우경 · 엄준형
이화여자대학교 의과대학 이비인후과학교실
ABSTRACT

The caloric test is usually performed in open-loop system. Although the closed loop caloric test has many advantage, which can be used in the patient with perforation of tympanic membrane and middle ear pathology, but it has not been used popularly. The purposes of this study were to establish normal responses for normal subject using a closed-loop caloric irrigator and to know test-retest correlations of responses to closed-loop irrigations. Normal subjects (n=55) were studied with eye-opened in dark field (n=35) and eye-closed in dark field (n=20). We used Brooker-Grams closed loop irrigator with 27±0.5℃ and 44±0.5℃ water, irrigation times of 40 seconds, and nystagmus was detected more than 120 seconds by Electronystagmography. Using Jongkees' formula, directional preponderance, canal paresis and temperature effect were analysed. As a result, the eye-opened test group had more correct response, and test-retest was highly correlated. And directional prepondrance was distributed in less than 30% and canal paresis was distributed in less than 29% (p<0.05). It was found that water temperature was appropriate because temperature effect was distributed in less than 30%. As a conclusion, the closed loop caloric test has many advantages and good test-retest reliability, therefore it is clinically useful method.

Keywords: Caloric testClosed-loop caloric test.
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