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Efficacy of laser occlusion of posterior semicircular canal for benign paroxysmal positional vertigo: case report

Published online by Cambridge University Press:  20 October 2009

S-Z Lin*
Affiliation:
Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China
J-P Fan
Affiliation:
Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China
A-H Sun
Affiliation:
Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China
J Guan
Affiliation:
Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China
H-B Liu
Affiliation:
Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China
Q-B Zhu
Affiliation:
Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China
*
Address for correspondence: Dr Shunzhang Lin, 415 Fengyang Road, 20th floor, Department of Otolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai, China200003. E-mail: linshunzhang@sina.com

Abstract

Objective:

To observe the long-term effect of laser occlusion of the posterior semicircular canal for benign paroxysmal positional vertigo.

Method:

Case report and review of the relevant world literature.

Results:

We treated a patient with refractory benign paroxysmal positional vertigo using laser occlusion of the posterior semicircular canal, and achieved satisfactory results. Three months after the operation, the patient was able to lead a normal life. There was no recurrence over five years of follow up.

Conclusion:

To our knowledge, this is the first report in the world literature of a patient with refractory benign paroxysmal positional vertigo being treated with laser occlusion of the posterior semicircular canal. This method had long-term effectiveness, and may be one of the most effective methods of treating patients with refractory benign paroxysmal positional vertigo.

Type
Online Only Clinical Records
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Garov, EV, Antonian, RG, Sherement, AS. Laser destruction of labyrinthine receptors as a treatment for benign paroxysmal postural vertigo and otolith symptoms [in Russian]. Vestn Otorinolaringol 2007;1:810Google Scholar
2Nmura, Y. Argon laser irradiation of the semicircular canal in two patients with benign paroxysmal positional vertigo. J Laryngol Otol 2002;116:723–5Google Scholar
3Antonelli, PJ, Lundy, LB, Kartush, JM, Burgio, DL, Graham, MD. Posterior semicircular canal occlusion for benign paroxysmal postional vertigo – CO2 laser assisted technique preliminary. Laryngoscope 1995;105:268–74Google Scholar
4Antonelli, PJ, Bouchard, KR, Kartush, JM. CO2 laser occlusion of guinea pig posterior semicircular canal. Otolaryngol Head Neck Surg 1995;113:453–8CrossRefGoogle ScholarPubMed
5Leveque, M, Labrousse, M, Seidermann, L, Chays, A. Surgical therapy in intractable benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2007;136:693–8CrossRefGoogle ScholarPubMed
6Antonelli, PJ, Lundy, LB, Kartush, JM, Burgio, DL, Graham, MD. Mechanical versus CO2 laser occlusion of the posterior semicircular canal in humans. Am J Otol 1996;17:416–20Google ScholarPubMed
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