Koc Eltaf Ayca Ozbal, Koc Bulent, Eryaman Esra, Ozluoglu Levent N
Department of Otorhinolaryngology, Baskent University, Istanbul Hospital, Cevre Hospital, Istanbul, Turkey.
J Craniofac Surg. 2013 Jan;24(1):e89-90. doi: 10.1097/SCS.0b013e318272d9e0.
We present 2 cases of benign paroxysmal positional vertigo (BPPV) following septorhinoplasty. Benign paroxysmal positional vertigo following septorhinoplasty is an unusual entity. Two young women who had difficulty in breathing and nasal deformity underwent septorhinoplasty. On the second and the third postoperative days, the patients experienced vertigo that was induced by position changes. Both patients had neither preexisting ear disease nor vertigo before the surgery. All the examinations were normal. With Dix-Hallpike maneuver, which is the criterion-standard test, the characteristic nystagmus was observed. Right posterior canal BPPV was diagnosed, and they were both treated with Epley canalith repositioning maneuver. Publications related to postsurgical vertigo are available in literature, but it is still an underdiagnosed disorder. We would like to mention about this rare entity and inform the surgeons that they must keep in mind that a patient who is complaining about vertigo or dizziness after the surgery should be observed and investigated for BPPV.
我们报告2例鼻中隔成形术后出现的良性阵发性位置性眩晕（BPPV）。鼻中隔成形术后的良性阵发性位置性眩晕是一种不常见的情况。两名因呼吸困难和鼻畸形而接受鼻中隔成形术的年轻女性，在术后第二天和第三天出现了由体位改变诱发的眩晕。两名患者在手术前均无耳部疾病或眩晕史，所有检查均正常。通过标准测试Dix-Hallpike手法，观察到了特征性眼震。诊断为右后半规管BPPV，两名患者均接受了Epley半规管结石复位手法治疗。文献中有关于术后眩晕的报道，但这仍是一种诊断不足的疾病。我们想提及这一罕见情况，并告知外科医生，对于术后抱怨眩晕或头晕的患者，必须留意并排查是否患有BPPV。
