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Vestibular Clinical Assessment

Vestibular clinical assessment is a comprehensive evaluation performed to determine the causes of dizziness and balance disorders. This assessment forms the basis for an accurate diagnosis and treatment process.

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The vestibular clinical assessment consists of a series of tests and examinations used to understand and diagnose patients’ balance system-related issues. This evaluation focuses on examining structures and functions related to balance, such as the inner ear, brainstem, and cerebellum. The vestibular clinical assessment process generally includes the following steps:

Evaluation of Patient History:

Symptom Identification: A detailed inquiry into symptoms such as dizziness, imbalance, vertigo, tinnitus, and hearing loss.Onset and Duration of Symptoms: Examination of when the symptoms started, their duration, triggers, and intensity.Medication and Medical History: Evaluation of the patient’s current and past medications, chronic diseases, previous infections, or traumas.

Physical Examination:

Examination of Eye Movements: Assessment for nystagmus (involuntary eye movements), which may indicate a disorder in the central or peripheral vestibular system. Head Rotation Tests: Observation of eye movements when the head is turned in various directions. These tests can help detect asymmetries in the vestibular system. Dix-Hallpike Maneuver: A test performed when positional vertigo (e.g., benign paroxysmal positional vertigo – BPPV) is suspected. It checks for vertigo and nystagmus when the patient’s head is positioned in specific ways.

Vestibular Tests:

VNG (Videonystagmography): Evaluation of balance functions of the inner ear and central nervous system by monitoring eye movements. VEMP (Vestibular Evoked Myogenic Potentials): Measurement of the contraction response of the sternocleidomastoid muscle with auditory stimuli. This test assesses the saccule (a part of the inner ear) and vestibulospinal reflex pathways.Caloric Test: Evaluation of the vestibular system function in both ears by applying cold and warm water or air to the inner ear.Posturography: A test measuring how balance is maintained in static and dynamic states. It evaluates the balance system while the patient stands on various surfaces.

Hearing Tests:

Audiometry: A test that evaluates hearing levels and can detect hearing loss, which may be associated with vestibular problems. Tympanometry: Measures middle ear pressure, assessing the mobility of the eardrum and middle ear function.

Imaging Techniques:

MRI (Magnetic Resonance Imaging) or CT (Computed Tomography): Used to examine structures such as the inner ear, brainstem, and cerebellum in detail.

Treatment Plan Development:

Rehabilitation Programs: Vestibular rehabilitation may include physical therapies and exercises to help patients manage balance issues. Medication Therapy: Medications may be prescribed to alleviate symptoms or treat the underlying cause.Surgical Intervention: In severe cases, surgical interventions may be required.Vestibular clinical assessment helps identify the source of an individual’s balance problems and enables the determination of appropriate treatment options.
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esra ildirar
5.0
23 July 2025

Hello, they told me that my parotid gland needed to be removed. I went to so many doctors that I finally decided on Dr. Mustafa. I am glad I chose Dr. Mustafa. You do not need to look for a doctor, you can choose my doctor with peace of mind without any worries.

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Emine Barut
5.0
4 July 2025

I had a nose surgery 9 months ago by Mustafa Deniz Hoca. Both he and his team are always in touch with you before and after the surgery and provide detailed answers to questions. I am very pleased with my nose in terms of aesthetic appearance and health. Thank you and your entire team for everything.

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umut danışman
5.0
24 June 2025

First of all, I would like to thank my instructor Mustafa Deniz Yılmaz for his efforts. I had a nose surgery about 4 months ago. Like everyone else, I had the opportunity to research and compare the videos taken by many people who had this surgery and the perspectives of experts in their field on nose surgeries. I am very happy that I made the right decision and had surgery with my instructor Mustafa. I sincerely recommend my instructor Mustafa to everyone who wants to breathe both aesthetically and healthily and has problems.

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Tuğba K
5.0
23 June 2025

I had a nose surgery in February. They never failed to show interest from the moment I entered the clinic until the last moment. No one even understands that I had plastic surgery. Mr. Deniz is one of the best in his field. I recommend it to everyone.

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zeynep yokuslu
5.0
21 June 2025

I had a nose surgery 3.5 months ago. The surgery and recovery process went great. There are a few things you should pay attention to after the surgery, they don't affect your quality of life too much. The doctor makes you feel very comfortable about that because it's not as complicated as you think. Other than that, I can breathe easily now, which is the most important thing. Also, Assistant Ayşegül Hanım gets back to you directly at any time of the day, no matter how long it has been since the surgery, if you have any questions. I'm very happy that I chose the right doctor.

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Halil Göktürk
5.0
17 June 2025

I met Dr. Deniz upon the recommendation of another patient. He performed my ear surgery approximately 6 months ago with the diagnosis of Cholestatum. His care and follow-up of his patient both before and after the surgery for 6 months is commendable. I would also like to thank Dr. Deniz for his confidence in his patient and his friendly approach. I am in a much better position after the surgery, both in terms of hearing and risk of infection. I would like to thank Prof. Dr. Mustafa Deniz Yılmaz and his team.

I went to my dear teacher Deniz because of my breathing difficulties. He and his team were very cheerful and caring. My surgery was very successful and our doctor Deniz and his team were always caring throughout the process. We definitely recommend them, they are very knowledgeable, you will never regret it.

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N G
5.0
16 June 2025

I had been experiencing a constant runny nose for a while. I decided to go to a private ENT specialist and I took a very good step. My doctor told me I had vasomotor rhinitis, which I had never heard of before. They had always given me allergy medication and sent me there. Mustafa Deniz made me feel very comfortable with the nasal wash he recommended. I had been using allergy medication unnecessarily for so long. You can go with peace of mind 😊.

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Sinem Sayalı
5.0
16 June 2025

I had a nose surgery 6 months ago. I am very pleased with the result. Mr. Deniz is a successful doctor in his field. You can choose him with peace of mind.

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Oktay BAŞKURT
5.0
16 June 2025

1-I had a nose surgery, there was no pressure problem with the device that was attached, when the tampon was removed I could breathe 100% from both noses, now it is completely open 2-The girl had an ear surgery. She was constantly sick because of her ear and was using antibiotics. She also had hearing problems. A tube was inserted. She has not been sick since that day, we got over a few coughs without antibiotics for the first time. She could hear well even the day after the surgery. In the first measurements, it was said that half of her hearing problem was gone. Now we are waiting for the 3-month check-up. But we do not have any problems with hearing. Thank you very much

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Adaada
5.0
16 June 2025

I had a nose surgery 6 months ago with my doctor Mustafa Deniz Yılmaz. The pre- and post-operation was very comfortable. The operation was better than I thought. I received very positive comments from those around me. You can trust your doctor and his team with peace of mind. Thank you Mustafa Deniz Yılmaz.

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Melisa Akyel
5.0
11 June 2025

About 10 months ago, Dr. Deniz performed my nose surgery. I wanted to wait a while to comment. First of all, it was a difficult surgery for me to decide, because I was very afraid of the surgery. I made my decision by considering the comments here. The surgery process went better than I expected. I had no pain or bruising, but I had a lot of swelling due to my nose skin. My nose has recently gotten rid of the swelling and settled down. I went there mostly for aesthetic purposes, but now I can breathe much better. I was very pleased with both Dr. Deniz's interest and sincerity, and the healthy and beautiful result we got. I think those who are undecided and those who have fears like me can trust Dr. Deniz with peace of mind.

Anesthesia Type: General

Operation Time: 2-3 Hours

Pain: Mild

Length of hospital stay: 1 night

Recovery Time 7 days

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Schedule your free initial consultation with Prof. Dr. Mustafa Deniz Yılmaz now. Take the first step in your treatment process and let’s start your journey to regain your health with personalized solutions.