What should I do if otolithiasis frequently occurs?

Written by Li Rui
Otolaryngology
Updated on January 16, 2025
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Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngologic condition, with some patients experiencing recurrent episodes. After recurrent episodes occur, it is necessary to visit an otolaryngology department for a positional test. This test clarifies the specific location of the affected semicircular canal, and after confirmation, targeted manual repositioning treatments can be conducted. During the treatment process, regular follow-ups are required. At the same time, it is important to protect the head from severe external impacts, avoid vigorous activities in the short term, and ensure adequate rest. Many patients gradually improve and the probability of episodes progressively decreases following these adjustments and treatments.

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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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Does otolithiasis require hospitalization?

Most patients with vestibular neuritis do not need hospitalization. Only in cases where the condition is particularly severe and has significantly impacted normal life, is hospitalization considered. The symptoms of vestibular neuritis are generally short-lived, with most patients experiencing transient vertigo related to changes in body position. When the body position is stabilized, the vertigo symptoms quickly alleviate. Therefore, outpatient treatment is generally considered, where a repositioning test can be conducted during the outpatient visit to identify the specific affected semicircular canal. Once identified, targeted manual repositioning treatment can be administered, with regular follow-ups needed to monitor the treatment effects.

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Written by Li Rui
Otolaryngology
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Is medication effective for treating otolithiasis?

Otolithiasis is a relatively common ENT disorder. For treatment, some patients may choose oral medication. After treatment with oral medications, symptoms can gradually be controlled and alleviated for most patients, although individual results may vary. If symptoms of otolithiasis are more pronounced, oral medication alone may not be effective, and manual repositioning treatment should be considered. After manual repositioning treatment, many patients can significantly control symptoms of vertigo, and should then undergo regular follow-up examinations, as some patients may experience recurrent episodes. (Medication should be taken under the guidance of a physician.)

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Written by Li Rui
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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.

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Written by Li Rui
Otolaryngology
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Does otolithiasis cause tinnitus?

Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition characterized by vertigo that does not involve tinnitus and is associated with changes in body position. The duration of the vertigo is typically very short, usually around 10 seconds, and the symptoms disappear once the head or body position is stabilized. There are no accompanying symptoms such as tinnitus or hearing loss. In terms of treatment, the first choice is usually manual repositioning, which is effective for most patients. If manual repositioning does not yield satisfactory results, treatment may involve using a rotary chair in conjunction with medication. If these methods are ineffective, surgical treatment might be considered.