Magliulo Giuseppe, Gagliardi Mario, Cuiuli Giuseppe, Celebrini Alessandra, Parrotto Donato, D'Amico Raffaello
Otorhinolaryngology, Audiology and Phoniatrics "G. Ferreri" Department, University La Sapienza of Rome, Italy.
J Vestib Res. 2005;15(3):169-72.
In our experience some patients subjected to stapedotomy presented vestibular symptoms characterized by brief episodes of vertigo that only lasted 10 to 20 seconds, accompanied by rapid paroxysmal nystagmus similar to that found in benign paroxysmal positional vertigo (BPPV). For this study, 141 otosclerotic patients were enroled and underwent stapedotomy following the Fisch and Dillier's technique. Twelve out (8.5%) of all the patients under study complained of post-operative vertigo and the physical examination of the positional nystagmus confirmed the presence of paroxymal positional vertigo. The percentage seems particularly high and does not agree with the data reported in literature. The onset of the vestibular symptoms appeared between the 5th and 21st day after surgery. To our knowledge, this is the first prospective study existing in literature on the incidence of BPPV after surgery of the stapes. It must also be stressed that the patient should be informed beforehand during the consultation phase of the possibility of post-stapedotomy BPPV together with the other causes of post-operative vertigo.
根据我们的经验，一些接受镫骨手术的患者出现了前庭症状，其特征为短暂的眩晕发作，仅持续10至20秒，并伴有与良性阵发性位置性眩晕（BPPV）相似的快速阵发性眼球震颤。在本研究中，141例耳硬化症患者入组，并按照菲施（Fisch）和迪利尔（Dillier）的技术接受了镫骨手术。在所有研究患者中，有12例（8.5%）抱怨术后眩晕，对位置性眼球震颤的体格检查证实存在阵发性位置性眩晕。这个百分比似乎特别高，与文献报道的数据不一致。前庭症状在术后第5天至第21天之间出现。据我们所知，这是文献中关于镫骨手术后BPPV发生率的第一项前瞻性研究。还必须强调的是，在咨询阶段应事先告知患者镫骨手术后发生BPPV的可能性以及术后眩晕的其他原因。
