دورية أكاديمية
أعرض في EDS

Individualized repositioning with a mechanical rotational chair facilitates successful treatment of patients with very retractable benign paroxysmal positional vertigo.

التفاصيل البيبلوغرافية
العنوان: Individualized repositioning with a mechanical rotational chair facilitates successful treatment of patients with very retractable benign paroxysmal positional vertigo.
المؤلفون: Skelmose TBK; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. Electronic address: trine.kobberoe@rn.dk., Houmøller AM; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark., Yavarian Y; Department of Radiology, Aalborg University Hospital, Denmark., Borregaard NR; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark., Hougaard DD; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark; Balance & Dizziness Centre, Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark.
المصدر: American journal of otolaryngology [Am J Otolaryngol] 2024 Jul-Aug; Vol. 45 (4), pp. 104241. Date of Electronic Publication: 2024 Mar 27.
نوع المنشور: Journal Article; Clinical Trial; Review
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Cherry Hill, N. J., Saunders.
مواضيع طبية MeSH: Benign Paroxysmal Positional Vertigo*/therapy , Patient Positioning*/methods , Semicircular Canals*/physiopathology , Semicircular Canals*/diagnostic imaging , Tomography, X-Ray Computed*, Humans ; Male ; Female ; Prospective Studies ; Middle Aged ; Aged ; Treatment Outcome ; Rotation ; Adult
مستخلص: Background: About 12.5 % of patients diagnosed with benign paroxysmal positional vertigo (BPPV), experience persistent BPPV where it is unknown why some BPPV cases are very refractory (vrBPPV) to treatment.
Objectives: The primary objective was to investigate if patients with vrBPPV could be successfully treated with a mechanical rotation chair (MRC) adjusted to the exact vertical semicircular canal (SCC) angles of the individual patient. Secondary endpoint was to determine if inner ear anomalies were predominant in these patients.
Methods: This prospective clinical trial included 20 patients (main group) who underwent computed tomography (CT) with measurements of the bony island and the width between the SCC walls of the posterior leg of the lateral SCCs. The inter-SCC angles, the angles between the sagittal plane and the vertical SCCs were compared to the presumed mean standard angles of the SCCs. Of these, 14 patients (subgroup) underwent individualized treatment with the Rotundum® repositioning chair according to their measured SCC angles.
Results: All measured SCC angles differed significantly (p < 0.05) from the presumed mean standard SCC angles, except the angle between the sagittal plane and the left posterior SCC (p-SCC). Three out of 14 patients experienced subjective and objective remission after treatment with this MRC. Six out of 14 patients experienced either subjective remission or objective remission.
Conclusions: Patients with vrBPPV have vertical SCC angles that differ significantly from the presumed mean standard SCC angles. Individualized treatment with this MRC successfully treated 21.4 % of the patients with vrBPPV and provided subjective relief for 42.9 %.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: BPPV; Benign paroxysmal positional vertigo; Inner ear anatomy; Mechanical rotation chair; Rotundum; Vertigo
تواريخ الأحداث: Date Created: 20240404 Date Completed: 20240612 Latest Revision: 20240612
رمز التحديث: 20240613
DOI: 10.1016/j.amjoto.2024.104241
PMID: 38574512
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-818X
DOI:10.1016/j.amjoto.2024.104241