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 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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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 Zhang Jun
Otolaryngology
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Can young people get otolithiasis?

Benign Paroxysmal Positional Vertigo (BPPV) can occur in anyone, regardless of time or age. There are many causes of BPPV, which are generally related to staying up late, fatigue, poor rest, and high mental stress. It can suddenly cause dizziness, usually triggered when turning over or twisting the head. It is clinically known as benign paroxysmal positional vertigo. During an episode, patients may experience severe dizziness, along with severe nausea and vomiting, but there is no hearing loss or tinnitus. The duration of dizziness does not exceed one minute and often resolves on its own. If dizziness recurs, it is necessary to visit a hospital for detailed examinations like electronystagmography, caloric tests, and glycerol tests for diagnosis. For treatment, BPPV requires provocatory and repositioning maneuvers to gradually improve. Regular physical exercise can also help prevent recurrent episodes.

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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 Li Rui
Otolaryngology
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Clinical Manifestations of Otolithiasis

Benign paroxysmal positional vertigo (BPPV) is a relatively common ENT disorder, clinically characterized by recurrent episodes of vertigo associated with changes in body or head position. Typically, vertigo can be induced when the head is tilted toward a certain direction, but the duration of vertigo is brief, usually disappearing within a few seconds once the head position is stabilized. However, it tends to recur and does not accompany tinnitus, hearing loss, or headaches. Therefore, it is necessary to consult an ENT or neurology department, allowing experienced doctors to make a targeted assessment.