Elderly otolithiasis can be controlled by otolith repositioning, vestibular function training, medication and surgery.
1. Otolith repositioning: Epley method is a commonly used treatment for otolithiasis, which is mainly to change the position of the patient’s head so that the otolith can be discharged from the semicircular canal, and usually requires repeated treatments; Horizontal semicircular canal otolithiasis can be treated by Barbecue tumbling method.
2. Vestibular function training: patients who are ineffective in reset treatment for otolithiasis and still have dizziness after reset can be treated by vestibular function training, which is mainly to improve vestibular function through the adaptive ability of the central nervous system.
3. Medication: In principle, medication cannot reset otoliths, but when combined with other diseases, or when there are symptoms such as dizziness and balance disorders after reset, medications to improve microcirculation of the inner ear, such as betahistine and ginkgo biloba leaf extract, etc., can be given.
4. Surgical treatment: for a very small number of patients who are still prolonged after manipulation and reset, and who have a greater impact on daily work and life, semicircular canal occlusion can be considered.
Elderly otolithosis can be timely to the hospital, under the guidance of physicians for standardized medication and treatment.