Vertigo is a disease that many people suffer from in life. Most of the causes of this disease are related to the ears. Why do I say that? Let’s take a closer look at it below. Vertigo caused by the ears 1. Otolithiasis Otolithiasis is the most common clinical condition and most patients seek treatment in the otolaryngology department. The symptoms of vertigo are related to the head position, with a sudden onset and continuous vertigo at the beginning, which then eases after a few days and turns into paroxysmal vertigo. However, when the head is in a certain position, dizziness will occur and may last for tens of seconds. The dizziness may be alleviated or disappear when turning or reversing the head position. Marked nystagmus may be present, and the duration of vertigo varies greatly. 2. Meniere's disease The clinical manifestation is intermittent and recurrent attacks of vertigo, with intervals ranging from days to months to years. It often occurs suddenly, with vertigo reaching its most severe level at the beginning, aggravated by head movement and eye opening, often accompanied by falling, and a state of panic due to the violent sense of rotation and movement, accompanied by tinnitus, deafness, nausea, vomiting, pale complexion, slow pulse, decreased blood pressure and nystagmus. Each attack lasts from a few minutes to a few hours, and some can persist for several days. Fatigue and drowsiness after each attack. How to treat Otolithiasis 1. The use of vestibular inhibitors, such as ceramide, phenergan, etc. 2. Secondary otolithiasis should be treated causally. 3. Postural therapy. 4. Tube stone release method. 5. Tuballith reduction method. 6.Epley reduction method: This method usually only needs one time, it is simple and effective. 7.CH-BPPV otolith repositioning method. Meniere's disease 1. Drug treatment can include vestibular nerve inhibitors, anticholine drugs, vasodilators, diuretics and dehydration drugs, glucocorticoids, and vitamins. 2. Experimental studies on middle ear pressurization therapy have shown that changes in middle ear pressure can affect the pressure and flow in the inner ear. In 2001, Densert of Sweden reported that the use of a portable middle ear pressor (Meniett device) to treat Meniere's disease can control patients' vertigo symptoms in the short or long term. 3. Chemical labyrinthectomy refers to the use of the ototoxicity of aminoglycoside antibiotics to destroy the vestibular function of the inner ear to achieve the purpose of treating vertigo. 4. Surgical treatment of Meniere's disease can be considered after drug therapy fails. There are many types of surgeries, such as endolymphatic sac surgery (endolymphatic sac decompression, endolymphatic sac shunt); stellate ganglion closure; for those who have lost their ability to work and live due to vertigo, and children with hearing loss, labyrinthectomy and vestibular nerve nectomy can be selected. |
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