| Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory. | |
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MedLine Citation:
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PMID: 16500439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Wayne T Shaia; John J Zappia; Dennis I Bojrab; Michael L LaRouere; Eric W Sargent; Rodney C Diaz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2006-02-27 Completed Date: 2006-04-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 424-30 Citation Subset: IM |
Affiliation:
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Michigan Ear Institute, 30055 Northwestern Highway Suite #101, Farmington Hills, MI 48377, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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