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HOME > J Korean Bal Soc > Accepted Articles > Article
5 난치성 양성돌발두위현훈의 양상을 보이는 화골성 내이염 1예
Dong Hyun Kim, Jae Moon Sung, Hwi Kyeong Jung, Chang Woo Kim

DOI: https://doi.org/ [Accepted]
Published online: August 17, 2017
Hallym university Kangdong Sacred Heart Hospital, Seoul, Korea
Corresponding author:  Chang Woo Kim, Tel: 010-4947-7327, Fax: --482-2279, 
Email: kcw5088@dreamwiz.com
Received: 14 July 2017   • Accepted: 17 August 2017
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Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder. It is easily cured with canal repositioning maneuvers, but some patients are resistant to the repositioning maneuver and require surgical intervention. Labyrinthitis ossificans is the pathologic condition that fibrous tissue and new bone occupy the membranous labyrinthine space. It occurs as a sequela of inner ear inflammation resulting from diverse causes, mostly bacterial meningitis and otitis media. We describe here a 42-year-old female patient with refractory posterior semicircular canal (PSCC) BPPV and adhesive otitis media in same ear. Otoscopic examination revealed adhesive tympanic membrane without middle ear space and temporal bone CT showed complete ossification of the labyrinth at the same side. We planned performed a canal wall down mastoidectomy and PSCC occlusion. The patient had complete resolution of her BPPV symptom including paroxysmal vertigo and positional nystagmus, postoperatively.


Res Vestib Sci : Research in Vestibular Science