Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-24T08:07:58.406Z Has data issue: false hasContentIssue false
  • English
  • Français

Non-ampullary pluging of the posterior semicircular canal for being paroxysmal positional vertigo

Published online by Cambridge University Press:  29 June 2007

Albert Pace-Balzan  and
John A. Rutka
Albert Pace-Balzan
Affiliation:
Research Fellow Ear Pathology Research Laboratory, Department of Otolaryngology, University of Toronto, Toronto, Ontario, Canada
John A. Rutka*
Affiliation:
Assistant Professor Ear Pathology Research Laboratory, Department of Otolaryngology, University of Toronto, Toronto, Ontario, Canada
*
Dr John Rutka, The Toronto Hospital, Toronto Western Division, Department of Otolaryngology, 399 Bathurst Street, EC 5—033, Toronto, Ontario, Canada M5T 2S8.
Get access Rights & Permissions [Opens in a new window]

Abstract

Benign paroxysman positinal vertigo (BPPV) is a common condition which is usually self-limiting. Surgical treatment is rarely required and for many years the mainstay of such treatment has been singular neurectomy (posterior ampullary nerve section).

A new operation has recently been described for the treatment of BPPV involving occlusion of the posterior semicircular canal. We have performed this operation on five patients with intractable BPPV and report our result with follow up of between 12 and 36 months from operation.

The excellent results of posterior semicircular canal occlusion which have been previously reposted in the literature are confirmed by our experience. In our opinion the operation is a safe and effective alternative to singular neurectomy.

Keywords

VertigoLabyrinthSemicircular canals
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 901 - 906
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arai, Y., Henn, V., Boehmer, A., Suzuki, J. (1989) How could canal-pluggings result in intense direction changing type of positional nystagmus? Acta Otolaryngologica, Supplement 468: 159–164.Google Scholar
Bárány, R. (1921) Diagnose von Krankheitserscheinungen im Bereiche des Otolithenapparates. Acta Otolaryngologica 2: 434–437.CrossRefGoogle Scholar
Brandt, T., Daroff, R. B. (1980) Physical therapy for benign paroxysmal positional vertigo. Arvchives of Otolaryngology, 106: 484–485.CrossRefGoogle ScholarPubMed
Dix, M. R., Hallpike, C. S. (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proceedings of the Royal Society of Medicine, 45: 341–354.CrossRefGoogle ScholarPubMed
Fluur, E., Siegborn, J. (1974) Interaction between the utricles and the vertical semicircular canals. Acta Otolaryngologica, 77: 80–85.CrossRefGoogle ScholarPubMed
Gacek, R. R. (1974) Transection of the posterior ampullary nerve for the relief of benign paroxysmal positional vertigo. Annals of Otology, Rhinology and Laryngology, 83: 596–605.CrossRefGoogle ScholarPubMed
Gacek, R. R. (1982) Singular neurectomy update. Annals of Otology, Rhinology and Laryngology, 91: 469–473.CrossRefGoogle ScholarPubMed
Gacek, R. R. (1984) Cupulolithiasis and posterior ampullary nerve transection. Annals of Otology, Rhinology and Laryngology, 93, Supplement 112: 25–31.CrossRefGoogle Scholar
Hall, S. F., Ruby, R. R. F., McClure, J. A. (1979) The mechanics of benign paroxysmal vertigo. journal of Otolaryngology, 8; 151–158.Google ScholarPubMed
Moriarty, B., Rutka, J., Hawke, M. (in press) The incidence and distribution of cupular deposits in the labyrinth. Laryngoscope.Google Scholar
Ohmichi, T., Rutka, J., Hawke, M. (1989) Histopathologic consequences of surgical approaches to the singular nerve. Laryngoscope, 99: 963–970.CrossRefGoogle Scholar
Parnes, L. S., McClure, J. A. (1985) Effect on brainstem auditory evoked responses of posterior semicircular canal occlusion in guinea pigs. Journal of Otolaryngology, 14: 145–150.Google ScholarPubMed
Parnes, L. S., McClure, J. A. (1990) Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Annals of Otology, Rhinology and Laryngology, 99: 330–334.CrossRefGoogle ScholarPubMed
Parnes, L. S., McClure, J. A. (1991) Posterior semicircular canal occlusion in the normal hearing ear. Otolaryngology—Head and Neck Surgery, 104: 52–57.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1969) Cupulolithiasis. Archives of Otolarynology, 90: 765–778.CrossRefGoogle ScholarPubMed
Smont, A., Freys, G., Vitte, E. (1988) Curing the BPPV with a liberatory manoeuvre. Advances in Otorhinolaryngology, 42: 290–293.Google Scholar
Vyslonzil, E. (1963) Über eine umschriebene anasammlung von Otokonien im hinteren häutingen Bogengänge. Monatsschrift für Ohrenheilkunde und Laryngo-Rhinologie, 97: 63–68.Google Scholar