Benign paroxysmal positional vertigo surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Surgery is not the first-line treatment option for patients with BPPV. Surgery is usually reserved for patients with refractory BPPV. The surgery options include transection of the posterior ampullary nerve, argon laser (inducing ossification of the posterior canal) and surgical occlusion of the posterior canal with bony plugs. Since hearing loss is one of the most important complications of these procedures, hearing problem in the other ear is contraindication for surgery.

Indications

Surgery is not the first-line treatment option for patients with BPPV. Surgery is usually reserved for patients with refractory BPPV.

Surgery

The surgery options include:^[1]^[2]^[3]

Transection of the posterior ampullary nerve
Argon laser (inducing ossification of the posterior canal)
Surgical occlusion of the posterior canal with bony plugs

Contraindications

Since hearing loss is one of the most important complications of these procedures, hearing problem in the other ear is contraindication for surgery.

References

↑ Gacek, Richard R. (2016). “Transection of the Posterior Ampullary Nerve for the Relief of Benign Paroxysmal Positional Vertigo”. Annals of Otology, Rhinology & Laryngology. 83 (5): 596–605. doi:10.1177/000348947408300504. ISSN 0003-4894.
↑ Nomura, Yasuya (2006). “Argon laser irradiation of the semicircular canal in two patients with benign paroxysmal positional vertigo”. The Journal of Laryngology & Otology. 116 (09). doi:10.1258/002221502760238046. ISSN 0022-2151.
↑ Beyea, Jason A.; Agrawal, Sumit K.; Parnes, Lorne S. (2012). “Transmastoid semicircular canal occlusion: A safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence”. The Laryngoscope. 122 (8): 1862–1866. doi:10.1002/lary.23390. ISSN 0023-852X.

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[Gacek2016-1] Gacek, Richard R. (2016). “Transection of the Posterior Ampullary Nerve for the Relief of Benign Paroxysmal Positional Vertigo”. Annals of Otology, Rhinology & Laryngology. 83 (5): 596–605. doi:10.1177/000348947408300504. ISSN 0003-4894.

[Nomura2006-2] Nomura, Yasuya (2006). “Argon laser irradiation of the semicircular canal in two patients with benign paroxysmal positional vertigo”. The Journal of Laryngology & Otology. 116 (09). doi:10.1258/002221502760238046. ISSN 0022-2151.

[BeyeaAgrawal2012-3] Beyea, Jason A.; Agrawal, Sumit K.; Parnes, Lorne S. (2012). “Transmastoid semicircular canal occlusion: A safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence”. The Laryngoscope. 122 (8): 1862–1866. doi:10.1002/lary.23390. ISSN 0023-852X.

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