Can otolithiasis be treated with surgery?

Written by Deng Bang Yu
Otolaryngology
Updated on September 19, 2024
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Ear stone disease is referred to as benign paroxysmal positional vertigo (BPPV), a common otolaryngological condition of the inner ear, primarily presenting as vertigo. The treatment mainly involves manual or mechanical repositioning of the otoliths. After repositioning, self-functional exercises are conducted along with pharmacological treatments to alleviate or mitigate residual symptoms. For cases of ear stone disease with severe symptoms or complex conditions where manual repositioning is insufficient, or if the BPPV is a secondary condition accompanying other inner ear diseases, surgical interventions may be considered, such as inner ear drug injections or semicircular canal occlusion. These surgical methods are considered last-resort options, not first-line treatments.

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Written by Li Rui
Otolaryngology
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Is otolithiasis prone to recurrence?

Ear stone disease, also known as benign paroxysmal positional vertigo, is a relatively common otolaryngological condition that tends to recur. According to the current treatment protocols, the first consideration is manual repositioning treatment. After standardized manual repositioning treatment, most patients can gradually recover and alleviate their symptoms. Some patients respond very well and can recover immediately after manual repositioning, but there is a possibility of recurrence. Therefore, regular otolaryngological check-ups are necessary, and the head must not be subjected to external impacts. In the short term, avoid vigorous exercise and monitor the recovery of the condition.

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Written by Li Rui
Otolaryngology
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Benign paroxysmal positional vertigo (BPPV) is a condition related to dizziness.

Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition, clinically referred to as benign, paroxysmal, positional vertigo. It primarily occurs when tiny particles enter the semicircular canals, and with changes in body position, it can easily trigger episodes of vertigo. Generally, the duration of vertigo is quite brief, lasting about several seconds, and the symptoms of vertigo quickly disappear after the body or head is stabilized. However, it tends to be recurrent and generally does not accompany symptoms like tinnitus, headache, or hearing loss. Currently, a common treatment is manual repositioning, which helps most patients recover and alleviate their condition after being performed.

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Written by Li Rui
Otolaryngology
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What are the symptoms of otolithiasis?

Benign Paroxysmal Positional Vertigo (BPPV), also known as otolithiasis, is most commonly characterized by recurrent episodes of vertigo. Typically, these episodes of vertigo are short-lived, lasting just a few seconds, and are closely related to changes in body or head position. Vertigo can be triggered by changes in head position and quickly disappears once the head is stabilized. Furthermore, there are no accompanying symptoms of tinnitus, headache, dizziness, or loss of consciousness. Diagnosis can be confirmed through clinical symptoms and positional testing. After diagnosis, manual repositioning treatments can be considered, and most patients respond well to this treatment.

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Written by Li Rui
Otolaryngology
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What should I do about otolithiasis?

Ear stone disease, also known as benign paroxysmal positional vertigo, is a common otolaryngologic condition. The main clinical manifestation is positional vertigo related to changes in body position, which generally lasts for a short duration, about a few seconds. The vertigo symptoms quickly disappear after the head is stabilized, and there are no accompanying symptoms such as tinnitus, headaches, dizziness, or hearing loss. In terms of treatment, manual repositioning is the first choice, and most patients can recover directly after undergoing manual repositioning treatment. A small number of patients may need to consider machine repositioning or oral medication treatment.

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Written by Li Rui
Otolaryngology
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How is otolithiasis treated?

Ear stone disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. It is primarily characterized by short episodes of dizziness, nausea, and vomiting that occur with changes in body position, typically lasting about 10 seconds. The symptoms of vertigo quickly disappear once the body position is stabilized. In terms of treatment, manual repositioning therapy is initially considered and is generally effective for most patients. If manual therapy alone does not yield satisfactory results, treatment using a mechanical rotating chair may be considered. Additionally, some patients may consider oral medication. If conservative treatments fail to provide relief, surgical intervention might be necessary.