Analysis of factors affecting the efficacy of bilateral posterior semicircular canal occlusion in the treatment of refractory benign paroxysmal positional vertigo.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2025-04-16 DOI:10.1080/00016489.2025.2490296

Hui Yong, Lingling Di, Zhikai Wang, Jing Kang, Pei Yang, Xiaoping Gao

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引用次数: 0

Abstract

Background: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder. Refractory cases persist despite ≥3 repositioning maneuvers over 6 months.

Objective: To identify factors influencing bilateral posterior semicircular canal occlusion (BPCO) efficacy in refractory BPPV.

Methods: A retrospective study included 120 refractory BPPV patients undergoing BPCO. Patients were divided into Group A (successful outcomes, n = 84) and Group B (suboptimal outcomes, n = 36) based on postoperative DHI reduction (≥50% vs. <50%).

Results: Group B had a higher mean age (69.85 ± 4.15 vs. 62.28 ± 3.64 years, p =.012), longer disease duration (≥1 year: 30.56% vs. 10.73%, p < .01), and more bilateral BPPV (16.67% vs. 5.96%, p < .01). At 6 months, Group B showed poorer outcomes: higher dizziness handicap inventory (DHI) scores (53.24 ± 5.39 vs. 30.11 ± 2.88), lower SF-36 scores (58.10 ± 5.32 vs. 81.45 ± 6.29), higher recurrence rates (38.89% vs. 7.14%), and more frequent attacks (13.75 ± 3.66 vs. 4.36 ± 1.25/month) (p < .05). Multivariate analysis confirmed age, disease duration, and bilateral BPPV as independent risk factors (p < .01).

Conclusions: Older age (≥65 years), prolonged disease duration (≥1 year), and bilateral BPPV predict poor BPCO outcomes in refractory BPPV. These factors are critical for preoperative decision-making.

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影响双侧后半规管闭塞治疗难治性良性阵发性位置性眩晕疗效的因素分析。

背景：良性阵发性位置性眩晕（BPPV）是最常见的外周前庭疾病。尽管在6个月内进行了3次以上的复位，难治性病例仍然存在。目的：探讨影响双侧后半规管闭塞治疗难治性BPPV疗效的因素。方法：回顾性研究120例难治性BPPV患者行BPCO。根据患者术后DHI减少情况(≥50% vs.结果：B组患者平均年龄较高（69.85±4.15岁vs. 62.28±3.64岁，p = 0.012），病程较长（≥1年：30.56% vs. 10.73%, p p p p p），将患者分为A组（成功结果，n = 84）和B组（次优结果，n = 36）。结论：年龄较大（≥65岁），病程延长（≥1年），双侧BPPV预测难治性BPPV预后较差。这些因素对术前决策至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.