Is otolithiasis prone to recurrence?

Written by Li Rui
Otolaryngology
Updated on September 20, 2024
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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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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.

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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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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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What should I do if otolithiasis frequently recurs?

Ear stone disease, also known as benign paroxysmal positional vertigo, primarily manifests as brief episodes of dizziness that can occur with changes in body position. The dizzy spells usually last about ten seconds and tend to quickly subside once the head or body position is stabilized, although recurring episodes are possible. In cases of recurrent attacks, timely treatment is necessary. Currently, the more common treatment method is manual repositioning. Most patients gradually recover after undergoing manual repositioning treatment. If the results of manual repositioning are unsatisfactory, treatment may also include medication and rotary chair repositioning devices. However, a very small portion of patients, who do not respond to standardized conservative treatments, may need to consider surgical options. (The use of medication should be under the guidance of a professional doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Does otolithiasis cause headaches?

Ear stone disease, also known as benign paroxysmal positional vertigo, has two types: primary ear stone disease and secondary ear stone disease. Clinically, ear stone disease mainly manifests as vertigo, as well as symptoms of the vestibular system or autonomic nervous system caused by vertigo, such as nausea and vomiting. Patients with ear stone disease rarely or almost never experience headaches. If headache symptoms are present, they are often accompanied by other diseases, such as hypertension, intracranial lesions, etc. These conditions can also cause ear stone disease, which are referred to as secondary ear stone disease as mentioned above. Therefore, if a patient with ear stone disease develops headache symptoms, active examination should be undertaken to avoid missing other lesions.