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Journal of Speech and Hearing Research Vol.35 186-191 February 1992.
© American Speech-Language-Hearing Association

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Comparison of Responses to Air, Water, and Closed-Loop Caloric Irrigators

Elizabeth A. Karlsen 1
Hany H. Mikhail 1
C. W. Norris 1

Ruth S. Hassanein 2

1 Otolaryngic Head and Neck Surgery Foundation University of Kansas Medical Center Kansas City, KS
2 Department of Biometry University of Kansas Medical Center Kansas City, KS

Three types of commercially available caloric irrigation units—air, water, and closed-loop—were evaluated for nystagmus response patterns and comfort. Electronystagmographic recordings were analyzed for slow-phase velocity, response duration, amplitude, frequency, and test-retest reliability. Significant differences were found among the three types of irrigators, between warm and cool irrigators, and between male and female subjects. Test-retest reliability was adequate for all three units. Subjects clearly favored the closed-loop system over the water and air irrigators, but the water irrigator yielded the most robust caloric response.

KEY WORDS: caloric Irrigation, closed-loop caloric Irrigators, air caloric Irrigators, water caloric Irrigators

Submitted on July 13, 1990
Accepted on April 18, 1991


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