What should I do if otolithiasis frequently recurs?

Written by Li Rui
Otolaryngology
Updated on September 11, 2024
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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 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 Xu Qing Tian
Otolaryngology
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The difference between otolithiasis and Ménière's disease

The main difference between BPPV (Benign Paroxysmal Positional Vertigo) and Meniere's Disease lies in their symptoms and causes. BPPV primarily manifests as episodes of dizziness due to dislodged otoconia moving into the semicircular canals, leading to vestibular irritation. On the other hand, Meniere's Disease presents a group of symptoms including vertigo, fluctuating hearing loss, and tinnitus, thought to be caused by fluid accumulation in the labyrinth, triggering labyrinthine irritation.

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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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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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symptoms of post-vestibular neuritis

The symptoms of the sequelae of vestibular lithiasis are quite varied, with common symptoms including dizziness, a sensation of heaviness in the head and lightness in the feet, and a floating feeling when walking. Some patients may also experience nausea and vomiting, with substantial individual variation in symptoms. Generally, recovery can gradually occur about one to two weeks after the onset of the condition. For patients with more pronounced symptoms, oral medication treatment may need to be considered, requiring regular follow-up during the treatment process to monitor the effects. Overall, with timely medical treatment, the condition should gradually improve, although fluctuations may occur. (Specific medications should be taken under the guidance of a physician.)