Benign paroxysmal positional vertigo surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Surgery is not the first-line treatment option for patients with BPPV. Surgery is usually reserved for patients with refractory BPPV. The surgery options include transection of the posterior ampullary nerve, argon laser (inducing ossification of the posterior canal) and surgical occlusion of the posterior canal with bony plugs. Since hearing loss is one of the most important complications of these procedures, hearing problem in the other ear is contraindication for surgery.

Indications

• Surgery is not the first-line treatment option for patients with BPPV. Surgery is usually reserved for patients with refractory BPPV.

Surgery

The surgery options include:

• Transection of the posterior ampullary nerve
• Argon laser (inducing ossification of the posterior canal)
• Surgical occlusion of the posterior canal with bony plugs

Contraindications

• Since hearing loss is one of the most important complications of these procedures, hearing problem in the other ear is contraindication for surgery.