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J Korean Bal Soc > Volume 4(1); 2005 > Article
Journal of the Korean Balance Society 2005;4(1): 45-48.
유양동 삭개술 후 반대측에 발생한 양성 돌발성 두위 현훈
, , 홍성룡1, 김지수2, 구자원1
서울대학교 의과대학 분당서울대학교병원 이비인후과학교실1, 신경과학교실2
A Case of Contralateral Benign Paroxysmal Positional Vertigo after Mastoidectomy
Sung Lyong Hong, Ji Soo Kim, Ja Won Koo
1Department of Otolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. jwkoo99@snu.ac.kr
2Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
ABSTRACT
hors suggest plausible mechanisms of the contralateral side BPPV after mastoid surgery as follows. Surgical position during mastoid surgery (contralateral ear down) and postoperative bulky mastoid compressive dressing usually kept the patient’s head to the contralateral side can be precipitating factors for migration of detached particles into the semicircular canal of dependent position. Anyway, appropriate differential diagnosis and management plans should be prompted using bed side vestibular evaluation, since serious irreversible inner ear complications are more frequent cause of postoperative vertigo than BPPV.
Keywords: Otitis media; Surgery; Positional vertigol; Semicircular canal
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