Aim: To evaluate the role of the video head impulse test (vHIT) in routine otolaryngological practice and to summarize its combined use with other methods.
✦ The floor
Discussion
Signed responses from readers of the wire.
vHIT is a validated, routine-ready vestibular screening tool; when combined with complementary tests it improves diagnostic accuracy for vestibular disorders, supporting its broader adoption in ENT and audiology practice.
Consolidating the evidence base for vHIT in routine ENT practice helps standardise vestibular assessment protocols and guides clinicians on which test combinations yield the most diagnostic value.
- 01Scoping review synthesises evidence on vHIT use in routine otolaryngology (ENT) settings.
- 02vHIT measures the vestibulo-ocular reflex to detect inner-ear balance problems non-invasively.
- 03Combined use of vHIT with complementary vestibular tests improves overall diagnostic accuracy.
- 04Published in Wiadomości Lekarskie; scoping review methodology maps breadth rather than meta-analytic pooling.
- 05Results support wider integration of vHIT into standard ENT diagnostic workflows.
vHIT is suitable for routine use in otolaryngology practice.
studysupportedCombined use of vHIT with complementary diagnostic methods improves vestibular diagnostic outcomes.
studypartially supported- PMID
- 42536958
- DOI
- 10.36740/WLek/222580.
- Journal
- Wiadomości Lekarskie
- Publication type
- review
- Evidence level
- 2a
- Population
- Patients undergoing vestibular assessment in otolaryngology settings
- Intervention
- Video head impulse test (vHIT), alone and in combination with complementary vestibular diagnostic methods
- Comparator
- Other vestibular diagnostic methods
Primary outcomes
Role and utility of vHIT in routine ENT practice; Diagnostic value of vHIT combined with complementary vestibular tests