Otoliths are clinically known as benign paroxysmal positional vertigo, which refers to brief paroxysmal episodes of vertigo and nystagmus that occur when the head moves rapidly to a specific head position. It is mostly caused by the dislodgement of otoliths from various causes. It is a benign disease and most patients can heal themselves, and the aim of treatment is to shorten the course of the disease to reduce pain. The treatment methods are as follows: 1. Reset treatment: Otolith reset treatment is the preferred treatment for otoliths. Manual reset treatment is a simple, easy and economical method that does not require too much auxiliary equipment and can be done with just an examination bed, and patients can eliminate their symptoms in a short time. In addition, the otolith reset instrument can also be applied to assist in the treatment. 2.Habit therapy: For patients who can’t or don’t want to perform reset therapy for various reasons, they can improve the symptoms by changing the position under the guidance of doctors. Patients close their eyes, go from sitting position to side lying position, with the occiput touching the examination bed, keep the position, sit up after the vertigo disappears, and then lie down on the other side after 30 seconds, alternate sides until the symptoms disappear, once every 3 hours, generally the symptoms can disappear after 7-10 days . 3.Application of drugs: For otoliths, drugs cannot achieve the purpose of otolith reset, but for patients with heavy vertigo and nausea symptoms, drugs can be used to relieve the symptoms, such as vestibular inhibitors (multiply dizzying, vertigo stop, Valium), betahistine, etc. 4.Etiological treatment: Vestibular neuritis, Meniere’s disease, sudden deafness, viral labyrinthitis, migraine, head trauma, middle or inner ear surgery, post cochlear implant surgery, otosclerosis, inner ear malformation, chronic middle ear mastoiditis, ototoxic drugs and other diseases can cause otoliths, and active treatment is needed if the above diseases are present. 5.Surgical treatment: If the otolith restoration method is also ineffective and affects the quality of life and work, surgical treatment can be performed. To sum up, otoliths is a disease that can be cured by itself. The preferred treatment is otolith reset, and drugs can reduce the symptoms, and for conservative treatment, surgery is feasible.