Otoliths are transient episodes of vertigo and eye tremors caused by irritation of the semicircular canal by dislodged otoliths caused by a variety of factors, related to the position of the head, and most often seen in middle-aged people. Since otoliths are caused by the irritation of the semicircular canal by the dislodged otoliths, the otoliths can leave the location of irritation with the flow of lymphatic fluid in the inner ear, and some patients can spontaneously reduce the symptoms or the symptoms can disappear completely, so the disease is somewhat self-limiting, but the self-healing time varies, some symptoms disappear quickly, but some symptoms can only be relieved after weeks or months or even years, the attack period can be accompanied by nausea and vomiting, but Generally there is no hearing impairment, tinnitus and other symptoms, no central nervous symptoms and signs, and the remission period can be without any discomfort. If the symptoms are obvious and seriously affect your daily work life and rest, you should go to the ENT department of a hospital in a timely manner, and after the diagnosis of otoliths, the first choice is to treat the otoliths by repositioning. Outpatient treatment is usually sufficient, but individual patients need to be hospitalized for multiple resetting. It is important to note that although otolith manipulation may seem simple, it must be performed by an experienced physician and patients should not reset the otolith on their own to avoid danger.