Otolithiasis, a disease of otogenic vertigo, should be listed in the Department of Otorhinolaryngology. 1. Otolithiasis, also called benign paroxysmal positional vertigo, is a disease of auricular vertigo, which mainly manifests itself as transient vertigo after a change in head position. 2. The treatment of otolithiasis is mainly through otolith reset treatment, which can be done through manipulation or instrument reset. However, this kind of disease has a certain self-limitation, and some patients can be cured by themselves. Some patients may use medication to relieve vertigo after otolith repositioning, such as betahistine. 3. Otolithiasis requires a vestibular function test and, if necessary, exclusion of other vertigo disorders in the ear. The otolaryngologist will conduct an examination of the ear function, such as electro-audiometry and brainstem evoked potentials to exclude other disorders. After suffering from otolithiasis, one should actively consult an ENT doctor and standardize the medication and treatment under the doctor’s guidance.