Benign paroxysmal positional vertigo (BPPV) is a condition related to dizziness.

Written by Li Rui
Otolaryngology
Updated on September 08, 2024
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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 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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Is hyperbaric oxygen effective for otolithiasis?

Ear stone disease, also known as benign paroxysmal positional vertigo, does not recommend the use of hyperbaric oxygen for treatment, as the treatment effect of hyperbaric oxygen is not good for ear stone disease and is not clinically recommended. Patients with ear stone disease may consider manual repositioning treatment, which generally has a good treatment effect, and most patients are able to recover. If the manual repositioning treatment is not effective, oral medication may be considered in combination with machine chair repositioning. Through this comprehensive treatment, vertigo symptoms can generally be gradually controlled and alleviated. However, there are a small number of patients with severe conditions for whom conservative treatment is ineffective, and surgery may need to be considered.

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Written by Li Rui
Otolaryngology
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What medicine should be taken for otolithiasis?

Ear stone syndrome is a relatively common otolaryngological condition, clinically referred to as benign paroxysmal positional vertigo. The main symptom is brief vertigo that occurs during changes in body position, usually lasting about ten seconds. The vertigo quickly subsides once the body position is stabilized, and there are generally no symptoms of tinnitus or hearing loss. In terms of treatment, medication is not recommended as the first option. Most patients can recover after manual repositioning treatment. If manual repositioning is ineffective, mechanical chair repositioning may be considered. If the condition still does not improve, oral anti-vertigo medications, which inhibit vestibular function and control vertigo, may be considered. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Can otolithiasis be treated with surgery?

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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For vertigo, register at the Department of ENT (Ear, Nose, and Throat).

Otolithiasis, also known as benign paroxysmal positional vertigo, is primarily caused by abnormalities in the vestibular semicircular canals. It is a common condition with a relatively high incidence in clinical settings. It is generally recommended to consult either an otolaryngology or neurology department, as both are equipped to handle this condition. There are several treatment methods available, with manual repositioning treatment being the preferred first choice. Most patients can recover after undergoing manual repositioning treatment. For a small portion of patients who do not respond well to manual repositioning, machine repositioning chairs can be considered, in conjunction with pharmacological treatment. However, for a very small group of patients who do not respond to conservative treatment, surgical treatment may need to be considered.