Luryi Alexander L, Lawrence Juliana, LaRouere Michael, Babu Seilesh, Bojrab Dennis I, Zappia John, Sargent Eric W, Schutt Christopher A
1 Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
2 Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Novi, Michigan, USA.
Ann Otol Rhinol Laryngol. 2018 Jun;127(6):390-394. doi: 10.1177/0003489418771988. Epub 2018 May 7.
To report treatment of benign paroxysmal positional vertigo (BPPV) in patients unable to undergo traditional canalith repositioning maneuvers (CRMs) using a particle repositioning chair (PRC).
A retrospective chart review was conducted at a single high-volume otology practice of patients diagnosed with BPPV from 2007 to 2017 with immobility prohibiting use of traditional CRMs. Patients were diagnosed and treated using a PRC, and outcome measures including resolution, recurrence, and number of treatment visits were recorded.
A total of 34 patients meeting criteria were identified, 24 of whom had cervical spine disease and 10 of whom had other prohibitive immobility. Symptoms were present for between 5 days and 11 years at presentation, with mean and median of 552 and 90 days, respectively. Symptoms resolved in 68% of patients and recurred in 13% of those patients. Most patients required 1 treatment visit.
Successful treatment of patients with BPPV and concomitant immobility prohibiting traditional CRMs is reported using the PRC. Benign paroxysmal positional vertigo in the setting of immobility is an indication for treatment with a PRC if available.
报告使用颗粒复位椅（PRC）对无法进行传统半规管结石复位手法（CRM）的良性阵发性位置性眩晕（BPPV）患者的治疗情况。
在一家大型耳科诊所对2007年至2017年期间被诊断为BPPV且因身体活动不便而无法使用传统CRM的患者进行回顾性病历审查。使用PRC对患者进行诊断和治疗，并记录包括症状缓解、复发情况以及治疗次数等结果指标。
共确定了34例符合标准的患者，其中24例患有颈椎病，10例有其他导致身体活动受限的情况。就诊时症状出现的时间为5天至11年，平均为552天，中位数为90天。68%的患者症状得到缓解，其中13%的患者复发。大多数患者只需接受1次治疗。
报告了使用PRC成功治疗伴有身体活动不便且无法进行传统CRM的BPPV患者的情况。如果有条件，身体活动不便情况下的良性阵发性位置性眩晕是使用PRC进行治疗的指征。
