Evidence map›Paper›PMID 40371981›Full record

ArticleThe Laryngoscope2025

International Pediatric Otolaryngology Group (IPOG) Consensus on Vestibular Testing in Children.

A Coudert, J R Brodsky, I Dhooge, An Boudewyns, A Chiao, S Cushing, S Dasgupta, J M Espinosa-Sanchez, J Gurberg, E Ionescu and 11 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Clinical consensus on vestibular infant screening.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

A CoudertDepartment of Pediatric Otolaryngology, Hôpital Femme Mere Enfant, Hospices Civils De Lyon - Université Claude Bernard Lyon 1, Lyon, France.ORCID 0000-0002-1653-8214
J R BrodskyDepartment of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-9656-5855
I DhoogeENT Department, Ghent University Hospital, Ghent, Belgium.
An BoudewynsENT Department, Antwerp University Hospital, Antwerp Belgium and Faculty of Medicine and Translational Neurosciences, University of Antwerp Belgium, Antwerp, Belgium.ORCID 0000-0002-6918-0674
A ChiaoDepartment of Surgery, Texas Tech Health Science Center El Paso, El Paso Children's Hospital, El Paso, Texas, USA.
S CushingENT Department, Hospital for Sick Children, Toronto, Canada.
S DasguptaAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
J M Espinosa-SanchezDivision of Otoneurology, Department of Otolaryngology, Hospital Universitario Virgen de las Nieves; Otology & Neurotology Group CTS495, Instituto de Investigación Biosanitaria ibs.GRANADA and Division of Otolaryngology, Department of Surgery, Universidad de Granada, Granada, Spain.
J GurbergDepartment of Otolaryngology-Head and Neck Surgery, Montreal Children's Hospital - McGill University, Montreal, Canada.
E IonescuDepartment of Pediatric Otolaryngology, Hôpital Femme Mere Enfant, Hospices Civils De Lyon - Université Claude Bernard Lyon 1, Lyon, France.ORCID 0000-0003-3773-9848
C M JenksDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, USA.
V LavenderDivision of Audiology, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
A MaudouxDepartment of Pediatric Otolaryngology, APHP, Robert Debré Hospital, Université Paris Cité, Paris, France.
R OReillyENT Department, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
W PagarkarENT Department, Great Ormond Street Hospital, University College London Hospitals NHS Trust, London, UK.
M ParodiDepartment of Pediatric Otolaryngology, APHP, Hôpital Necker-Enfants Malades-Université Paris Cité, Paris, France.
J SaniasiayaDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0003-1974-4379
F TjernströmLund University, Lund, Sweden.
S WaissbluthDepartment of Otolaryngology, Pontificia Universidad Católica de Chile, Santiago Chile, Chile.
J C C WiddershovenENT Department, Antwerp University Hospital, Antwerp Belgium and Faculty of Medicine and Translational Neurosciences, University of Antwerp Belgium, Antwerp, Belgium.
F SimonDepartment of Pediatric Otolaryngology, APHP, Hôpital Necker-Enfants Malades-Université Paris Cité, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo 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.

methodsThe 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.

resultsFor 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.

conclusionThis 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.

Indexed as

OtolaryngologyPediatricsVestibular DiseasesVestibular Function TestsChildChild, PreschoolDelphi TechniqueHumansInfantchildrencochlear implantvertigovestibular testing

Identifiers

PMID40371981
PMCPMC12645366

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.