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Vestibuläre Klinische Bewertung

Die vestibuläre klinische Bewertung ist eine umfassende Untersuchung, die durchgeführt wird, um die Ursachen von Schwindel und Gleichgewichtsstörungen zu ermitteln. Diese Bewertung bildet die Grundlage für eine genaue Diagnose und den Behandlungsprozess.

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Die vestibuläre klinische Bewertung besteht aus einer Reihe von Tests und Untersuchungen, die zur Erkennung und Diagnose von Gleichgewichtsproblemen der Patienten verwendet werden. Diese Bewertung konzentriert sich auf die Untersuchung von Strukturen und Funktionen, die mit dem Gleichgewicht zusammenhängen, wie Innenohr, Hirnstamm und Kleinhirn. Der Prozess der vestibulären klinischen Bewertung umfasst in der Regel die folgenden Schritte:

Bewertung der Krankengeschichte des Patienten:

Symptombeschreibung: Eine detaillierte Befragung zu Symptomen wie Schwindel, Ungleichgewicht, Vertigo, Tinnitus und Hörverlust.Beginn und Dauer der Symptome: Untersuchung, wann die Symptome auftraten, ihre Dauer, Auslöser und Intensität.Medikations- und Krankengeschichte: Bewertung der gegenwärtig und früher eingenommenen Medikamente des Patienten, chronischer Krankheiten, früherer Infektionen oder Traumata.

Körperliche Untersuchung:

Untersuchung der Augenbewegungen: Bewertung auf Nystagmus (unwillkürliche Augenbewegungen), was auf eine Störung im zentralen oder peripheren vestibulären System hinweisen kann. Kopfrotationstests: Beobachtung der Augenbewegungen bei Drehung des Kopfes in verschiedene Richtungen. Diese Tests können helfen, Asymmetrien im vestibulären System zu erkennen. Dix-Hallpike-Manöver: Ein Test, der bei Verdacht auf lageabhängige Vertigo (z. B. benigner paroxysmaler Lagerungsschwindel – BPPV) durchgeführt wird. Dabei wird geprüft, ob bei bestimmten Kopfpositionen Vertigo und Nystagmus auftreten.

Vestibuläre Tests:

VNG (Videonystagmografie): Bewertung der Gleichgewichtsfunktionen des Innenohrs und des zentralen Nervensystems durch Beobachtung der Augenbewegungen. VEMP (Vestibulär evozierte myogene Potenziale): Messung der Kontraktionsreaktion des Musculus sternocleidomastoideus auf akustische Reize. Dieser Test bewertet das Sacculus (einen Teil des Innenohrs) und die vestibulospinalen Reflexbahnen.Kalorischer Test: Bewertung der Funktion des vestibulären Systems in beiden Ohren durch Anwendung von kaltem und warmem Wasser oder Luft im Innenohr.Posturographie: Ein Test zur Messung, wie das Gleichgewicht in statischen und dynamischen Zuständen aufrechterhalten wird. Dabei wird das Gleichgewichtssystem des Patienten auf verschiedenen Oberflächen bewertet.

Hörtests:

Audiometrie: Ein Test zur Bewertung des Hörvermögens, der einen mit vestibulären Problemen verbundenen Hörverlust aufdecken kann. Tympanometrie: Misst den Mittelohrdruck und bewertet die Beweglichkeit des Trommelfells sowie die Funktion des Mittelohrs.

Bildgebende Verfahren:

MRT (Magnetresonanztomographie) oder CT (Computertomographie): Wird verwendet, um Strukturen wie Innenohr, Hirnstamm und Kleinhirn detailliert zu untersuchen.

Erstellung eines Behandlungsplans:

Rehabilitationsprogramme: Vestibuläre Rehabilitation kann physikalische Therapien und Übungen umfassen, um Patienten bei der Bewältigung von Gleichgewichtsproblemen zu unterstützen. Medikamentöse Behandlung: Medikamente können zur Linderung der Symptome oder zur Behandlung der zugrunde liegenden Ursache verschrieben werden.Chirurgische Eingriffe: In schweren Fällen können chirurgische Eingriffe erforderlich sein.Die vestibuläre klinische Bewertung hilft dabei, die Ursache der Gleichgewichtsprobleme einer Person zu identifizieren und ermöglicht die Festlegung geeigneter Behandlungsoptionen.
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şükrü erkara
5.0
10 Dezember 2024

I found Dr. Mustafa as a result of my research and went to him with the complaint of lack of ventilation of the Eustachian tube and decreased hearing. I had had surgery on the ear many times before, so he looked at my nose and said that there was a curvature in the nasal bone and a serious devaluation. If we correct it, it would benefit the ear and it would help me breathe in the future. So we did the surgery. We decided to be together, now I'm getting some fresh air and my hearing has improved a little, he said I'll be better, may God bless him, his communication and friendliness was very good, I'm glad to have you. my teacher

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Nur ÜRPER
5.0
6 Dezember 2024

Hello, I have had a Vertigo disorder that has not gone away for three years. I reached out to our esteemed teacher Mustafa Deniz upon his advice. Thanks to the medications he gave as a result of the maneuvers and examinations he made, I have not had any dizziness for 4 months. Thank you very much to our esteemed teacher and his teammates, I am glad to have you, best regards.

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cigdem topcuoglu
5.0
12 November 2024

If you are reading this article right now, you are in search of information like us. For this reason, I will tell our story in a little detail so that maybe it will be of some help to you. My daughter is 3 years old, we take her to our pediatrician regularly and when necessary. Our adventure started with nasal congestion. I am talking about a congestion that does not go away even though we constantly open it. Afterwards, mouth opening and snoring. When we asked our pediatrician about this situation, he referred us to Mustafa Hodja. After the examination of the adenoid size, He said it was 90%. We heard the sentence we didn't want: 'There should be surgery.' You'll be right, as a mother, I didn't want to have a young child undergo surgery right away. I even shared the situation with my pediatrician. He said, 'If Mustafa Hodja says, get it done, he won't say it easily. Make an appointment right away. We created the surgery and two days later, my baby had surgery. The only difficult thing about this surgery was waiting outside while your child was inside. Apart from that, everything was very planned and professional. The evening we came home, my baby was not snoring. He slept and we were incredibly surprised by this situation. We did not experience any negative situation. I would like to express our endless gratitude to Mustafa Hodja once again. Ms. Ayşegül, who did the programming, guided us very well. I am glad our paths crossed. Sleep without snoring, may the children be happy❤️

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Sümeyye ÖZKAN
5.0
12 November 2024

I went to the doctor with a complaint of symptom perforation. He said that he could easily close it after the examination. I had my surgery in April 2024. He also performed deviation and nose tip aesthetics. My priority was, of course, to repair the perforation. Thank God, the hole closed and I also had a beautiful nose. My recovery process is still ongoing, it was a long and difficult surgery, but I can breathe healthy. During this process, Ms. Ayşegül was always just a phone call away. I also thank him very much for his interest.

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Selda çetin
5.0
12 November 2024

I applied to my doctor with the complaint of septal perforation. I had surgery. It has been 5 months since my surgery and I am seriously relieved. Thank you very much to my doctor and his team...

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mesut Engindeniz
5.0
12 November 2024

Septal perforation Due to a nose surgery I had years ago, there were 2 huge holes and no cartilage was left in the nose. I could breathe very hard because all the cartilage in my nose had worn away. I did a lot of research and consulted many doctors. They said it was a very risky surgery, they said we couldn't do it. I tried a lot, I researched a lot, and lastly, Mustafa Deniz. I met my doctor Yilmaz, I found his clinic and went to be examined, he said that it was a risky surgery but he could do it. Actually, I had some fears, but after the examination, he made me overcome that fear. I had septal performance and plastic surgery. It took about 11 hours. It took 4 months. I got excellent results. The holes in my nose were closed, with the cartilage taken from the rib. My nose has become more beautiful again than before. I can breathe very easily. I would like to thank my teacher Mustafa very much. He is a very good teacher, I think he is the best in this field.

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murat çakır
5.0
12 November 2024

I repaired the hole in my nose painlessly and regained my health very quickly, thanks to our teacher. Thank you again.

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Ali Erbütlü
5.0
9 November 2024

We left Van and came to Antalya for my teacher Mustafa Deniz Yılmaz. He was very friendly and helped us a lot, he took one-on-one attention. My surgery was very difficult. I was diagnosed with septal perforation (hole in the nose). Many doctors we went to said that it was difficult and there were only a few people who did it, and Mustafa He directed me to my marine instructor. He took very good care of me and performed my surgery successfully. Thank you very much to him and his team. I'm glad to have you.

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İsmail Akdut
5.0
9 November 2024

Dear Sir, First of all, I would like to thank you. At first we used it for 5-6 hours, then I used it for 1.2 hours, no problem, thank you.

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Seda Ozdem
5.0
9 November 2024

I took my mother, who was treated for vertigo in various hospitals for almost two months but could not get any results. As a result of detailed examination and tests performed by audiologists, Mustafa determined that she had balance nerve inflammation. The treatment, which was expected to last 4 weeks, was completed in almost 2 weeks, accompanied by expert audiologists. His condition is very good, he returned to his normal life, thank you to everyone who contributed 🙏🏻

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Sedat Polat
5.0
18 Oktober 2024

First of all, I would like to express my endless gratitude to my marine instructor and all his staff. After a long wandering, I found my marine instructor upon his recommendation. He solved my dizziness problem that disrupted the entire routine of my life. May God bless you. REGARDS.

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pınar hakimoğlu
5.0
16 Oktober 2024

My daughter had adenoid surgery at the age of 6. Thank God, she is very well now. We chose my doctor because we trusted his knowledge and experience and we were not wrong. I recommend him as a doctor.

Art der Anästhesie: Allgemein

Betriebszeit: 2-3 Stunden

Schmerzen: Mild

Dauer des Aufenthalts im Krankenhaus: 1 Nacht

Erholungszeit 7 Tage

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Machen Sie jetzt den ersten Schritt

Kostenlose Vorab-Beratung

Vereinbaren Sie jetzt ein kostenloses Vorgespräch mit Prof. Dr. Mustafa Deniz Yılmaz. Machen Sie den ersten Schritt in Ihrem Behandlungsprozess und lassen Sie uns Ihre Reise zur Wiedererlangung Ihrer Gesundheit mit personalisierten Lösungen beginnen.