Mastoid Oscillation in Treatment of Benign Paroxysmal Positional Vertigo
LAN Li
HAN Wei
HUANG Wei
YE Qing
TAO Fangying
WANG Zhipeng
WANG Min
CAO Zuwei
LIU Yuqing
YANG Xue
ZHANGYuan
SONG Honglan
YANG Kejie
Abstract：Objective To report outcomes and quality of life in patients with recurrent benign paroxysmal positional vertigo after initial manual reduction treated with mastoid oscillation(MO)using bone vibrators.Methods Patients who failed the first otolith repositioning procedure(CRP)(n=104)were selected to receive repeated CRP or CRP combined with MO(CRP+MO group).DHI and VAS scores,time of disappearance of nystagmus,and duration of residual dizziness were compared between the two groups.Results In the CRP+MO group,time to nystagmus disappearance after repositioning(3.34±1.31days)was shorter than in the CRP only group(5.58±1.29 days)(t=8.23,P<0.05),with lower DHI(12.79±3.67)and VAS(2.34±1.31)scores compared to the CRP group(19.44±2.12 and 4.58±1.29,respectively)(t=8.35,t=13.62,P<0.05).Duration of residual symptoms in the CRP+MO lasted 7.85±3.37 days after treatment,significantly shorter than in the CRP only group(11.62±2.27 days)(t=15.32,P<0.05).There was no significant difference in the rate of adverse reactions between the two groups(χ2=0.53,P>0.05).Conclusion The combination of CRP and MO can shorten the course of treatment and improve the treatment outcomes in BPPV patients who have failed the first treatment.
Keywords：benign paroxysmal positional vertigovertigo disability scalevisual analog scalemastoid oscillation
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 895-899 )