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Objective: The aim of our study was to describe the diagnostic performances of tubomanometry (TMM) and to determine tubomanometric parameter thresholds for the diagnosis of patulous eustachian tube (PET). Study Design: We performed a retrospective, monocentric study, including patients treated for PET vs control group. Setting: This study was performed at the Otolaryngology Department of a tertiary‐care hospital in the south of France. Methods: We collected epidemiologic and clinical data, as well as adjusted opening latency index ("R"‐index), rhinopharyngeal pressure threshold of tubal opening (Po), and velar contraction index (IVC) on TMM. Receiver operating characteristic (ROC) curves were used for determination of R index and Po thresholds. Results: Twenty‐one patients (26 patulous ears) and 14 controls (24 normal ears) were included. The R index values and Po values were significantly lower in the PET group vs controls (0.46 vs 0.80, respectively; P <.05 for R index and 13.89 vs 26.42 mbar, respectively; P <.05 for Po). No significant difference was reported between the 2 groups on IVC measurement (P =.784). After ROC curve analysis, R index was the most discriminating factor to classify PET patients with 89% specificity and 76% sensitivity with a threshold ≤0.6. Po value ≤10 mbar could support this diagnosis with more than 83% specificity. Conclusion: TMM is a reliable noninvasive method for positive diagnosis of PET. TMM could provide an accurate positive PET diagnosis and an objective evaluation for PET management. [ABSTRACT FROM AUTHOR]

This study was carried out within the framework of a research on the non-medicinal managment of the dizzy patient. In order to carry out an inventory of vestibular rehabilitation practices in France, we conducted this research among practitioners recognized in this exercise. We conducted a survey using a thoretical questionnaire submitted to the whole community of french vestibular physiotherapists. We benefited from a statistically signifiant recruitment of this population and we were able to perform a statistical treatment of the data in order to answer questions concerning the current practice of vestibular rehabilitation. We observed autonomous therapeutic behaviours and the development of the practices of French vestibular physiotherapist which can be considered like a 'clinician of the vertigo re-education'. Continuing education nevertheless remains heterogeneous, and a national diploma resulting from standardised and adapted teaching does not sanction vestibular rehabilitation. This study is a 'snapshot' of the vestibular physiotherapist profession in France in 2019. It reveals a population of dynamic practitioners questioning their action in terms of health and their role regarding their prescribers, colleagues and other paramedical professions (osteopaths, orthoptists and psychomotricians). [ABSTRACT FROM AUTHOR]