Vertigo caused by dislodged otoliths is recommended to be treated with otolith repositioning, which can be combined with medication and rehabilitation of vestibular function at a later stage.
Otolithiasis refers to the dislodgement of otoliths from the oval capsule of the inner ear into the semicircular canals, which leads to vertigo symptoms induced by changes in body position, and may be accompanied by nausea, vomiting, and other discomforts. The vertigo is characterized by a short duration, ranging from a few seconds to several tens of seconds, rarely exceeding 1 minute, and is associated with postural change induced. This feature of vertigo is also an important feature for clinical identification of otolithiasis.
1. Otolith repositioning treatment: The vestibular function examination can be used to determine which semicircular canal the specific otolith is located in, and can be repositioned at the same time. Traditional manipulation can be chosen, and hospitals can choose otolith resetting instrument to reset the otolith.
2. Medication: After otolith reset, patients may suffer from dizziness to a certain extent, which lasts for several days, so they can use medicines such as betahistine mesylate tablets and flunarizine to improve vestibular function and alleviate dizziness symptoms.
3. Vestibular rehabilitation therapy: For patients with persistent vertigo, vestibular rehabilitation therapy can be considered after otolith repositioning.
Therefore, if you have vertigo caused by otoliths, it is recommended to go to the hospital in time and follow the doctor’s instructions for medication and treatment.