Benign Paroxysmal Positional Vertigo Following Septorhinoplasty

Abstract

We present 2 cases of benign paroxysmal positional vertigo (BPPV) following septorhinoplasty. Benign paroxysmal positional vertigo following septorhinoplasty is an unusual entity. Two young women who had difficulty in breathing and nasal deformity underwent septorhinoplasty. On the second and the third postoperative days, the patients experienced vertigo that was induced by position changes. Both patients had neither preexisting ear disease nor vertigo before the surgery. All the examinations were normal. With Dix-Hallpike maneuver, which is the criterion-standard test, the characteristic nystagmus was observed. Right posterior canal BPPV was diagnosed, and they were both treated with Epley canalith repositioning maneuver. Publications related to postsurgical vertigo are available in literature, but it is still an underdiagnosed disorder. We would like to mention about this rare entity and inform the surgeons that they must keep in mind that a patient who is complaining about vertigo or dizziness after the surgery should be observed and investigated for BPPV.

The Effects of Burr-Assisted Rhinoplasty on Hearing

“…17,18 Similarly, benign paroxysmal positional vertigo may occur in association with the use of osteotomy in septorhinoplasty. 19,20 Yaghmaei et al 21 reported that hearing loss, which is mild and transient in most cases, can be seen, especially after maxillary and bimaxillary orthognathic surgeries. Bayram et al 22 also found clinically insignificant mild hearing loss at low frequencies and mild middle ear pressure changes in the first week postoperative in patients who underwent Le Fort 1 osteotomy.…”

“…Publications showed that it could result in labyrinth trauma and benign positional vertigo although it is mostly safe 17,18. Similarly, benign paroxysmal positional vertigo may occur in association with the use of osteotomy in septorhinoplasty 19,20. Yaghmaei et al21 reported that hearing loss, which is mild and transient in most cases, can be seen, especially after maxillary and bimaxillary orthognathic surgeries.…”

Positional Vertigo Showing Direction-Changing Positional Nystagmus after Chronic Otitis Media Surgery: Is It Benign Paroxysmal Positional Vertigo?

“…Dizziness after otologic or maxillofacial surgery is not a rare postoperative complication [1,2]. Among them, benign paroxysmal positional vertigo (BPPV) has been often reported to develop after tympanomastoidectomy [3], stapes surgery [4], or surgical repair of superior canal dehiscence [5].…”