Guidelines of the French Society of Otorhinolaryngology (SFORL) for teleconsultation in patients with vertigo during the COVID-19 pandemic

Bertholon, P.; Thai‐Van, Hung; Bouccara, D.; Estève-Fraysse, M.-J.; Wiener-Vacher, Sylvette; Ionescu, E.

doi:10.1016/j.anorl.2020.11.011

Cited by 13 publications

(8 citation statements)

References 31 publications

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“…The requirements for social distancing and limitations to physical contact imposed by the COVID-19 pandemic have forced health care practitioners to improve, and sometimes to create, strategies for the remote examination and treatment of patients with vestibular dysfunction. [29][30][31] Bearing this in mind, we propose a strategy to provide this kind of care through the following steps:…”

Section: Discussionmentioning

confidence: 99%

The Role of the Smartphone in the Diagnosis of Vestibular Hypofunction: A Clinical Strategy for Teleconsultation during the COVID-19 Pandemic and Beyond

Barreto¹,

Yacovino²,

Cherchi

et al. 2021

Int Arch Otorhinolaryngol

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Introduction Vestibular disorders (VDs) are highly prevalent in primary care. Although in general they comprise conditions that are not life-threatening, they are associated with significant functional and physical disability. However, the current coronavirus disease 2019 (COVID-19) pandemic has imposed limitations on the standard treatment of benign conditions, including VDs. In this context, other resources may aid in the diagnosis and management of patients with VDs. It is well known that teleconsultation and teletreatment are both safe and effective alternatives to manage a variety of conditions, and we maintain that VDs should be among these. Objective To develop a preliminary model of clinical guidelines for the evaluation by teleconsultation of patients with suspected diagnosis of vestibular hypofunction during the COVID-19 pandemic and beyond. Methods A bibliographic review of the diagnostic feasibility in VDs by teleconsultation was carried out in the LILACS, SciELO, MEDLINE, and PubMed databases; books and specialized websites were also consulted. The legal, regulatory, and technical issues involving digital consultations were reviewed. Results We found 6 field studies published between 1990 and 2020 in which the efficiency of teleconsultations was observed in the contexts of epidemics and environmental disorders and disadvantageous geographical conditions. After reviewing them, we proposed a strategy to examine and address vestibular complaints related to vestibular hypofunction. Conclusion The creation of a digital vestibular management algorithm for the identification, counseling, initial intervention, monitoring and targeting of people with possible vestibular hypofunction seems to be feasible, and it will provide a reasonable alternative to in-person evaluations during the COVID-19 pandemic and beyond.

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Section: Discussionmentioning

confidence: 99%

The Role of the Smartphone in the Diagnosis of Vestibular Hypofunction: A Clinical Strategy for Teleconsultation during the COVID-19 Pandemic and Beyond

Barreto¹,

Yacovino²,

Cherchi

et al. 2021

Int Arch Otorhinolaryngol

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“…And the patients who had unilateral vestibular loss confirmed by vHIT and had normal MRI were classified into the group of peripheral AVS. If the lesion involved the vestibular nuclei, the vestibular connections of the brainstem, and/or the cerebellar circuits on CT or MRI, it was classified as central AVS ( Bertholon et al, 2020 ).…”

Section: Methodsmentioning

confidence: 99%

The Spectrum of Vestibular Disorders Presenting With Acute Continuous Vertigo

Yao

et al. 2022

Front. Neurosci.

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ObjectiveTo explore the composition of vestibular disorders presenting with the acute vestibular syndrome (AVS).MethodsWe performed a case analysis of 209 AVS patients between January 2016 and December 2020. These patients were grouped into different disorder categories according to the relevant diagnostic criteria.ResultsWe classified the 209 patients into 14 disorder categories, including 110 cases of vestibular neuritis, 30 of idiopathic sudden sensorineural hearing loss with vertigo, 17 of the first attack of continuous vertigo with migraine, 15 of Ramsay Hunt syndrome, 11 of acute labyrinthitis secondary to chronic otitis media, 8 of vestibular schwannoma, 6 of posterior circulation infarction and/or ischemia, 3 of cerebellar abscess secondary to chronic otitis media, 3 of AVS caused by trauma or surgery, 2 of AVS with down-beating nystagmus, 1 of multiple sclerosis of the medulla oblongata, 1 of epidermoid cyst of the posterior cranial fossa, 1 of a probable acute otolithic lesion, and 1 of AVS without measurable vestibular dysfunction.ConclusionWhen a group of disorders present with AVS, characteristic clinical manifestations and imaging help with an accurate diagnosis.

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“…In this case, the Constitutional Council has verified the legislative procedure of the concerned law and examined in public session. An inspection of this procedure is important because a proper process is necessary to thoroughly discuss the content of the bill, so the bill should pass the proper procedure according to the Constitution (Bertholon et al, 2021).…”

Section: The System Of Constitutional Preview Concerning the Pandemic...mentioning

confidence: 99%

Legal Policy on the Protection of the Right to Health During the Covid-19 Pandemic in France

Savitri

2022

BESTUUR

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<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p class="AbstractText">France has regulated the health system in great detail in some laws and regulations, but these regulations are insufficient to face the pandemic of Covid-19. This study aims to describe and analyze legal policies to protect health rights during the COVID-19 pandemic in France. It employs a normative legal research method with data sources such as the Declaration of human and citizen’s rights of 1789, the French Constitution of 1958, and laws and decisions of the French Constitutional Council. Since the Covid-19 pandemic erupted, French legislators have implemented adequate measures to prevent its spread.. The study results indicate that since the Covid-19 pandemic spread, French legislators have implemented adequate measures to prevent the spread of the virus through the appointment of the French Constitutional Council as the protector and guarantor of the fundamental rights of citizens through a system of judicial review. The control of proportionality in the system of judicial review is essential to strike a balance between the public interest of society and the rights of individuals to implement the adaptations necessary to protect public health, particularly during the Covid-19 pandemic.</p></td></tr></tbody></table></div>

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Guidelines of the French Society of Otorhinolaryngology (SFORL) for teleconsultation in patients with vertigo during the COVID-19 pandemic

Cited by 13 publications

References 31 publications

The Role of the Smartphone in the Diagnosis of Vestibular Hypofunction: A Clinical Strategy for Teleconsultation during the COVID-19 Pandemic and Beyond

The Role of the Smartphone in the Diagnosis of Vestibular Hypofunction: A Clinical Strategy for Teleconsultation during the COVID-19 Pandemic and Beyond

The Spectrum of Vestibular Disorders Presenting With Acute Continuous Vertigo

Legal Policy on the Protection of the Right to Health During the Covid-19 Pandemic in France

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