International Pediatric Otolaryngology Group (IPOG) Consensus on Vestibular Testing in Children
(2025) In Laryngoscope- Abstract
Objectives: To date, there are no clear guidelines in the literature on protocols for pediatric vestibular testing, and approaches may differ between teams. The objective of this study was to establish a consensus guideline for the minimum pediatric vestibular tests that should be conducted in both expert and non-expert centers. Methods: The leadership group identified 21 international experts in the pediatric vestibular field to participate. A modified Delphi process conducted over three rounds was employed to quantify consensus based on expert opinion. Consensus was considered achieved when over 80% of the participants agreed on a given proposition. Results: For a non-expert team wishing to develop a pediatric vestibular protocol and... (More)
Objectives: To date, there are no clear guidelines in the literature on protocols for pediatric vestibular testing, and approaches may differ between teams. The objective of this study was to establish a consensus guideline for the minimum pediatric vestibular tests that should be conducted in both expert and non-expert centers. Methods: The leadership group identified 21 international experts in the pediatric vestibular field to participate. A modified Delphi process conducted over three rounds was employed to quantify consensus based on expert opinion. Consensus was considered achieved when over 80% of the participants agreed on a given proposition. Results: For a non-expert team wishing to develop a pediatric vestibular protocol and irrespective of the child's age, 17 respondents (81%) agreed that the minimal vestibular testing should include lateral canal vHIT with remote camera (and/or rotary chair) and bone conduction cervical VEMPs. The same tests were selected by 17 respondents (81%) for testing 1-year-old children with an expert team. For an expert team testing a 4-year-old child, 17 respondents (81%) agreed that the minimal testing should include vHIT in all canals, cervical and ocular VEMPs using bone or air conduction, and rotary chair. No consensus emerged for the testing of eight-year-old children. Conclusion: This international consensus aims to help both expert and non-expert teams conduct more comparable age-dependent vestibular test protocols in children, fostering collaboration and establishing minimal standards for new teams. The key vestibular tests for children seem to be vHIT (and/or rotary chair) and cVEMP in bone conduction. Level of Evidence: NA.
(Less)
- author
- organization
- publishing date
- 2025
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- children, cochlear implant, vertigo, vestibular testing
- in
- Laryngoscope
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- pmid:40371981
- scopus:105005214666
- ISSN
- 0023-852X
- DOI
- 10.1002/lary.32261
- language
- English
- LU publication?
- yes
- id
- 57dbdf72-3e75-4d55-8fda-abff9f412a24
- date added to LUP
- 2025-09-29 14:25:05
- date last changed
- 2025-09-30 03:00:03
@article{57dbdf72-3e75-4d55-8fda-abff9f412a24,
abstract = {{<p>Objectives: To date, there are no clear guidelines in the literature on protocols for pediatric vestibular testing, and approaches may differ between teams. The objective of this study was to establish a consensus guideline for the minimum pediatric vestibular tests that should be conducted in both expert and non-expert centers. Methods: The leadership group identified 21 international experts in the pediatric vestibular field to participate. A modified Delphi process conducted over three rounds was employed to quantify consensus based on expert opinion. Consensus was considered achieved when over 80% of the participants agreed on a given proposition. Results: For a non-expert team wishing to develop a pediatric vestibular protocol and irrespective of the child's age, 17 respondents (81%) agreed that the minimal vestibular testing should include lateral canal vHIT with remote camera (and/or rotary chair) and bone conduction cervical VEMPs. The same tests were selected by 17 respondents (81%) for testing 1-year-old children with an expert team. For an expert team testing a 4-year-old child, 17 respondents (81%) agreed that the minimal testing should include vHIT in all canals, cervical and ocular VEMPs using bone or air conduction, and rotary chair. No consensus emerged for the testing of eight-year-old children. Conclusion: This international consensus aims to help both expert and non-expert teams conduct more comparable age-dependent vestibular test protocols in children, fostering collaboration and establishing minimal standards for new teams. The key vestibular tests for children seem to be vHIT (and/or rotary chair) and cVEMP in bone conduction. Level of Evidence: NA.</p>}},
author = {{Coudert, A. and Brodsky, J. R. and Dhooge, I. and Boudewyns, An and Chiao, A. and Cushing, S. and Dasgupta, S. and Espinosa-Sanchez, J. M. and Gurberg, J. and Ionescu, E. and Jenks, C. M. and Lavender, V. and Maudoux, A. and OReilly, R. and Pagarkar, W. and Parodi, M. and Saniasiaya, J. and Tjernström, F. and Waissbluth, S. and Widdershoven, J. C.C. and Simon, F.}},
issn = {{0023-852X}},
keywords = {{children; cochlear implant; vertigo; vestibular testing}},
language = {{eng}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Laryngoscope}},
title = {{International Pediatric Otolaryngology Group (IPOG) Consensus on Vestibular Testing in Children}},
url = {{http://dx.doi.org/10.1002/lary.32261}},
doi = {{10.1002/lary.32261}},
year = {{2025}},
}