KAREN H.CALHOUNMDRONALD B.KUPPERSMITHMD
IN REVIEWING the presentation by Vrabec, I am struck initially by the issue of cost-effectiveness. This procedure is extremely cost-effective compared with surgical procedures for vertigo that have historically been performed with less than the best statistical evidence for efficacy. I am gratified that procedures such as the installation of gentamicin sulfate through pressure-equalizing tubes and canalith repositioning have come to the fore at a time when outcome studies based on cost-effectiveness are becoming more and more prevalent. It is entirely possible that the advent of these procedures will spare us the embarrassment of others viewing some of the operations that we perform for vertigo from the standpoint of cost-effectiveness.
Pillsbury HC. Benign Paroxysmal Positional Vertigo and Otolith RepositioningA Cost-effective Addition to the Armamentarium. Arch Otolaryngol Head Neck Surg. 1998;124(2):226. doi:10.1001/archotol.124.2.226