No abstract

The bucket test is easy and quick to perform; we recommend to use a range of -1.0° to +3.0° as normal values in the healthy population.

Background The bucket test is a simple and practical instrument to evaluate vestibular diseases; additionally, it could be a useful tool in the evaluation of the vertigo patient. Unfortunately, the bucket test still lacks standardization. The objective of this study was to evaluate and to interpret the subjective visual vertical (SVV) using the bucket test in benign paroxysmal positional vertigo (BPPV) and Ménière’s disease patients. We performed a cross-sectional study in a secondary care center. All patients with diagnosis of unilateral posterior canal BPPV or Ménière’s disease underwent complete neuro-otological physical examination and the bucket test. Normal bucket test was 0° to 3° according to previous study. Results We included seventy-eight subjects. Benign paroxysmal positional vertigo cases (n = 51) showed a mean 2.62° of SVV prior to the Epley maneuver and 1.7° of SVV after the maneuver (p = < 0.001), 57% of patients with BPPV were categorized as abnormal. Inactive Ménière’s disease patients (n = 22) had mean SVV of 2.74° and Ménière’s disease with active crisis (n = 5) had 5.06° of SVV (p = 0.002). Conclusion The bucket test is a simple and useful test for the evaluation of SVV, and it has a role in the evaluation of patients with active vestibular diseases such as Ménière’s disease and BPPV.

Objective: To analyze the efficacy of endoscopic dacryocystorhinostomy (DCR) with marsupialization of the lacrimal sac compared with other techniques of endoscopic dacryocystorhinostomy. Material and methods: Clinical chart review. Patients with lacrimal sac pathologies and endoscopic DCR with or without marsupialization of the lacrimal sac were included from 2011 to 2015. The outcome measurements were absence of ocular symptoms and permeability of the lacrimal sac. Results: A total of 24 patients were evaluated, 17 women and 7 men, average age was 47 years.  Seven patients underwent DCR with marsupialization, 17 patients underwent other endoscopic techniques. Average follow-up was 18 months. The efficacy (absence of symptoms and permeability of the lacrimal sac) of the DCR technique with marsupialization was 71%, without significant difference compared to other techniques (p = 0.686). Conclusion: Similar results were found in the different types of endoscopic DCR techniques. More studies are needed to corroborate our results.