What are the symptoms of otolithiasis?

Written by Li Rui
Otolaryngology
Updated on September 08, 2024
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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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Does otolithiasis require surgery?

Otolithiasis is a relatively common ENT disorder, clinically referred to as benign paroxysmal positional vertigo. Generally speaking, most patients do not require surgery. Currently, the primary consideration is manual repositioning treatment, after which many patients can recover quickly. If the results of the manual repositioning treatment are not satisfactory, machine-assisted repositioning or oral medication can be considered. After these comprehensive treatments, most patients are able to recover. If there are a few patients who do not respond to the standard treatments mentioned above, then surgical treatment may be considered. The main surgery commonly used is the canal plugging surgery, which requires general anesthesia and inpatient surgery, and overall, the surgery is relatively difficult.

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Written by Xu Qing Tian
Otolaryngology
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How to reposition otoliths in benign paroxysmal positional vertigo?

Otolithiasis is a common ENT disorder that causes vertigo in patients and is also known as benign paroxysmal positional vertigo. The condition occurs when otoliths detach from the utricular macula and enter the horizontal and anterior semicircular canals, leading to symptoms of irritation in the semicircular canals, causing nausea, vomiting, spinning vision, and cold sweats among other related symptoms. The primary treatment for otolithiasis involves manual repositioning. This method requires the patient to lie flat on a bed, where the position of the Eustachian tube and the fallen otoliths are assessed to facilitate movement and allow the otoliths to return to the normal utricular macula position, thereby improving the patient's symptoms.

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Written by Zhang Jun
Otolaryngology
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How to treat mild ear stone disease?

Mild ear stone disease can be cured with hospital treatment for ear stone repositioning. Ear stone disease is relatively common clinically. Generally, the symptoms are caused by the movement of ear stones in the semicircular canals, leading to recurrent dizziness in patients. This typically occurs when getting out of bed or turning the head, and the dizziness lasts about one minute. Patients may also experience severe nausea and vomiting, but there is no hearing loss or tinnitus. If dizziness occurs repeatedly, it is necessary to go to the hospital for a detailed examination including electronic otoscopy, electrophysiological hearing test, acoustic impedance testing, calorics test, glycerol test, and nystagmography to confirm the diagnosis. In terms of treatment, ear stone disease requires stimulation treatment and repositioning treatment for cure. After repositioning, patients also need to adjust their diet and mindset, and avoid vigorous exercise to prevent recurrence.

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Written by Li Rui
Otolaryngology
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Does vertigo cause vomiting?

Ear stone disease is a relatively common otolaryngological condition, with dizziness being the most common clinical symptom, and some patients may experience vomiting. This is mainly due to severe dizziness symptoms leading to nausea and vomiting. Generally, symptoms will gradually improve after the acute onset, but symptoms can be triggered again when the body or head position is changed to a certain posture. After the onset of the disease, it is necessary to visit the otolaryngology department as soon as possible. Manual repositioning treatment can be considered, and regular follow-up is required during the treatment process, as some patients may experience a recurrence of the condition.

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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.