Document Detail


Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory.
MedLine Citation:
PMID:  16500439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the long-term efficacy and patient satisfaction of posterior semicircular canal occlusion (PSCO) as a treatment for intractable benign paroxysmal positional vertigo (BPPV).
STUDY DESIGN AND SETTING: Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demographic data, clinical records, and audiometric data were reviewed. Dix-Hallpike maneuver, dizziness handicap inventory (DHI), and a specific PSCO questionnaire (PCOQ) were used to measure outcome.
RESULTS: Twenty-eight patients underwent PSCO. The mean follow-up time was 40 months. All patients had normalization of the Hallpike test. DHI scores of 20 patients were recorded. The mean preoperative score was 70 compared with postoperative mean of 13 (P < 0.001). Mild hearing loss was found in 1 patient.
CONCLUSIONS AND SIGNIFICANCE: PSCO is highly successful. The DHI scores postoperatively show significant improvement. The PCOQ revealed an overall 85% patient satisfaction rate. PSCO is a safe and effective intervention for intractable BPPV with a high patient satisfaction rate.
EBM RATING: C-4.
Authors:
Wayne T Shaia; John J Zappia; Dennis I Bojrab; Michael L LaRouere; Eric W Sargent; Rodney C Diaz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  134     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-27     Completed Date:  2006-04-11     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  424-30     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Audiometry, Pure-Tone
Auditory Threshold / physiology
Dizziness / prevention & control*
Female
Follow-Up Studies
Hearing Loss, Sensorineural / etiology
Humans
Longitudinal Studies
Male
Middle Aged
Patient Satisfaction
Postoperative Complications
Quality of Life
Retrospective Studies
Semicircular Canals / surgery*
Treatment Outcome
Vertigo / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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