What are the treatments for otolithiasis?

In fact, the treatment method of otolithiasis should pay attention to all aspects. For example, psychological treatment cannot be ignored, because patients are likely to have a heavy mental burden due to this disease, which is not conducive to the control and treatment of the disease. At the same time, some anti-vertigo drugs should also be used as an auxiliary.

1. Psychotherapy

Point out that this disease is a benign process with no serious sequelae in order to reduce the patient's mental burden.

2. Body and head position

When vertigo attacks are severe, try to avoid body and head positions that may cause vertigo attacks.

3. Anti-vertigo drugs

Phenergan, barbiturates, cholinesterase inhibitors, etc. have certain effects.

4. Vestibular habituation therapy

The purpose is to increase tolerance to vertigo, which has a certain therapeutic effect.

5. Postural therapy

Instruct the patient to close his eyes and move from a sitting position to a side-lying position. When the dizziness disappears, sit up. After 30 seconds, lie on the other side again. Alternate between the two sides until the symptoms disappear. Do this every 3 hours. Usually, the symptoms will disappear after 7-10g.

6. Manual otolith repositioning

The purpose is to reposition the otoliths deposited in the posterior semicircular canal. The technique varies depending on the semicircular canal where the otolith is ectopically located.

7. Surgical treatment

If the above treatments are ineffective and affect the quality of life and work, posterior ampullary nerve transection, semicircular canal occlusion, intratympanic injection of 4% polycaine and streptomycin, etc. can be performed. Surgical treatment is suitable for unilateral lesions and patients with severe hearing loss or loss.

Drug treatment cannot prevent vertigo attacks caused by otolithiasis, but some elderly patients with cerebrovascular disease may need to be given infusion therapy at the same time. Some patients who have anxiety, depression, insomnia or autonomic dysfunction need to be given appropriate medication to prevent the recurrence of otolithiasis.