Singular Neurectomy Update

1982 ◽  
Vol 91 (5) ◽  
pp. 469-473 ◽  
Author(s):  
Richard R. Gacek
Keyword(s):  
Middle Ear ◽  
Benign Paroxysmal Positional Vertigo ◽  
Anatomical Variation ◽  
Complete Relief ◽  
Average Hospital Stay ◽  
Ablation Procedure ◽  
Work Time ◽  
Average Hospital ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

The results of a poll revealed that 96 singular neurectomies have been performed by ten surgeons in this country. Eighty-eight of these (91.7%) resulted in complete relief of benign paroxysmal positional vertigo (BPPV). In seven patients (7.3%) there was a sensorineural hearing loss as a result of this procedure. The average hospital stay for patients having this procedure ranged from 2–6 days, and the return to work time ranged from 1 to 3 weeks. These results indicate that singular neurectomy is an effective selective vestibular ablation procedure for BPPV and that the risks and disability are comparable to other routine middle ear procedures. The causes for failure of this procedure to relieve positional vertigo are a) misdiagnosis of BPPV and b) failure to recognize the singular nerve in the middle ear. Knowledge of the pathophysiology of the disorder and of the anatomical variation in the location of the singular canal will reduce these causes of failure.

scholarly journals BENIGN PAROXYSMAL POSITIONAL VERTIGO;

2012 ◽  
Vol 19 (03) ◽  
pp. 336-340
Author(s):  
SOHAIL BABAR NIAZI ◽  
Muhammad TAHIR ◽  
Muhammad Ali BHATTI
Keyword(s):  
Experimental Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Complete Recovery ◽  
Military Hospital ◽  
Complete Relief ◽  
Chi Square ◽  
Positional Vertigo ◽  
Quasi Experimental ◽  
Chi Square Test ◽  
Paroxysmal Positional Vertigo

Objective: To compare the efficacy of Vestibular sedative versus Epley manoeuvre in the management of benign paroxysmalpositional vertigo. Study design: Interventional Quasi experimental study. Place and duration of study: This study was conducted in ENTOPD Combined Military Hospital Rawalpindi from 1st January 2008 till 30th June 2008. Results: In this study out of 30 cases managed byvestibular sedative, 10 cases showed complete relief of symptoms after 01 month. Out of 30 cases managed by Epley manoeuvre, 28 casesshowed complete recovery after 01 month. The results were compared by Chi square test, as the data was mainly qualitative in nature. Theresults of both the groups were compared on day 3, day 7 and day 30, which revealed that Epley manoeuvre, is more effective than vestibularsedative in treatment of BPPV. Conclusions: Epley manoeuvre is more effective than vestibular sedative for treating the patients of benignparoxysmal positional vertigo.

scholarly journals Epley’s maneuver versus Semont’s maneuver in treatment of posterior canal benign positional paroxysmal vertigo

2017 ◽  
Vol 5 (7) ◽  
pp. 2854
Author(s):  
Ajayan P. V. ◽  
Aleena P. F. ◽  
Anju Mariam Jacob
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Semicircular Canals ◽  
Complete Recovery ◽  
Complete Relief ◽  
Chi Square ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Observational Prospective Cohort Study ◽  
Chi Square Test ◽  
Paroxysmal Positional Vertigo

Background: Benign paroxysmal positional vertigo (BPPV) is characterized by brief but violent attacks of paroxysmal vertigo provoked by certain positions of the head. BPPV is the most common cause of vertigo, resulting from migration of otoconia into the semicircular canals. Majority of patients have posterior canal BPPV. Epley’s Canalith Repositioning and Semont Liberatory Maneuver have been shown to be highly efficacious in the successfultreatment of posterior canal BPPV. The main objective of this study was to compare the efficacy of Epley’s maneuver versus Semont’s maneuver in the management of benign paroxysmal positional vertigo.Methods: This study was conducted in the Department of Otorhinolaryngology of a rural Medical College in Kerala, for a period of one and half year, from January 2015 to June 2016. It was an observational prospective cohort study. 200 patients with posterior canal BPPV were enrolled in this study based on inclusion and exclusion criteria. Patients were allotted alternatively to Epley’s group and Semont’s group, 100 patients in each group based on the treatment maneuvers they underwent. Efficacy of maneuvers were assessed at the end of 1st week, 1st month and 3rd month on the basis of resolution of symptoms and Dix-Hallpike negativity.Results: Of the 100 cases managed by Epley’s maneuver 95 cases showed complete relief of symptoms after 3 months. Out of 100 cases managed by Semont’s maneuver, 94 cases showed complete recovery after 3 months. The results were compared by Chi square test, as the data was mainly qualitative in nature. The results of both the groups were compared at the end of 1st week, 1st month and 3rd month, which revealed that both the Semont’s and Epley’s maneuver are equally effective in the treatment of posterior canal BPPV.Conclusions: Both Epley’s and Semont’s maneuver are equally effective for treating the patients of posterior canal benign paroxysmal positional vertigo.

Clinical Implications of the Center of Balance for a Veteran with Traumatic Brain Injury

2015 ◽  
pp. 280-289
Keyword(s):  
Traumatic Brain Injury ◽  
Case Report ◽  
Brain Injury ◽  
Benign Paroxysmal Positional Vertigo ◽  
Medical Center ◽  
Treatment Plan ◽  
Successful Outcome ◽  
Model Case ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: It is known that traumatic brain injury (TBI), even of the mild variety, can cause diffuse multisystem neurological damage. Coordination of sensory input from the visual, vestibular and somatosensory pathways is important to obtain proper balance and stabilization in the visual environment. This coordination of systems is potentially disrupted in TBI leading to visual symptoms and complaints of dizziness and imbalance. The Center of Balance (COB) at the Northport Veterans Affairs Medical Center (VAMC) is an interprofessional clinic specifically designed for patients with such complaints. An evaluation entails examination by an optometrist, audiologist and physical therapist and is concluded with a comprehensive rehabilitative treatment plan. The clinical construct will be described and a case report will be presented to demonstrate this unique model. Case Report: A combat veteran with a history of a gunshot wound to the skull, blunt force head trauma and exposure to multiple explosions presented with complaints of difficulty reading and recent onset dizziness. After thorough evaluation in the COB, the patient was diagnosed with and treated for severe oculomotor dysfunction and benign paroxysmal positional vertigo. Conclusion: Vision therapy was able to provide a successful outcome via improvement of oculomotor efficiency and control. Physical therapy intervention was able to address the benign paroxysmal positional vertigo. The specific evaluation and management as pertains to the aforementioned diagnoses, as well as the importance of an interprofessional rehabilitative approach, will be outlined.

scholarly journals Benign Paroxysmal Positional Vertigo Treated with Maneuvers to Change Head Position.

1995 ◽  
Vol 88 (7) ◽  
pp. 857-862
Author(s):  
Takayoshi ITAYA ◽  
Hiroya KITANO ◽  
Yoshiro YAZAWA ◽  
Akira KODAMA ◽  
Ichiro KOMADA ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Head Position ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo
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