Benign paroxysmal positional vertigo resulting from surgical trauma

Nigam, A.; Moffat, David A.; Varley, E.W.B.

doi:10.1017/s0022215100108448

Cited by 19 publications

(7 citation statements)

References 4 publications

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“…The potential risk factors for idiopathic BPPV include old age, bed rest[ 4 ], migraine[ 5 ], osteoporosis[ 6 ], and vascular risk factors[ 1 ]. In addition, iatrogenic BPPV induced by specific types of surgery[ 7 , 8 ] has also been observed.…”

Section: Introductionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo after Dental Procedures: A Population-Based Case-Control Study

et al. 2016

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BackgroundBenign paroxysmal positional vertigo (BPPV), the most common type of vertigo in the general population, is thought to be caused by dislodgement of otoliths from otolithic organs into the semicircular canals. In most cases, however, the cause behind the otolith dislodgement is unknown. Dental procedures, one of the most common medical treatments, are considered to be a possible cause of BPPV, although this has yet to be proven. This study is the first nationwide population-based case-control study conducted to investigate the correlation between BPPV and dental manipulation.MethodsPatients diagnosed with BPPV between January 1, 2007 and December 31, 2012 were recruited from the National Health Insurance Research Database in Taiwan. We further identified those who had undergone dental procedures within 1 month and within 3 months before the first diagnosis date of BPPV. We also identified the comorbidities of the patients with BPPV, including head trauma, osteoporosis, migraine, hypertension, diabetes, hyperlipidemia and stroke. These variables were then compared to those in age- and gender-matched controls.ResultsIn total, 768 patients with BPPV and 1536 age- and gender-matched controls were recruited. In the BPPV group, 9.2% of the patients had undergone dental procedures within 1 month before the diagnosis of BPPV. In contrast, only 5.5% of the controls had undergone dental treatment within 1 month before the date at which they were identified (P = 0.001). After adjustments for demographic factors and comorbidities, recent exposure to dental procedures was positively associated with BPPV (adjusted odds ratio 1.77; 95% confidence interval 1.27–2.47). This association was still significant if we expanded the time period from 1 month to 3 months (adjusted odds ratio 1.77; 95% confidence interval 1.39–2.26).ConclusionsOur results demonstrated a correlation between dental procedures and BPPV. The specialists who treat patients with BPPV should consider dental procedures to be a risk factor, and dentists should recognize BPPV as a possible complication of dental treatment.

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Section: Introductionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo after Dental Procedures: A Population-Based Case-Control Study

et al. 2016

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“…Secondary benign paroxysmal positional vertigo (s‐BPPV) can be caused by various inner ear diseases, including idiopathic sudden sensorineural hearing loss (ISSHL), Meniere's disease, neurolabyrinthitis, and vestibular neuritis 1–6. Head trauma and surgery have also been reported to be related to development of s‐BPPV 7–9. According to the literature, s‐BPPV is considered to be more recurrent, have longer disease duration, and have a poorer prognosis than idiopathic BPPV (i‐BPPV) 3–5.…”

Section: Introductionmentioning

confidence: 99%

Benign paroxysmal positional vertigo accompanied by sudden sensorineural hearing loss: A comparative study with idiopathic benign paroxysmal positional vertigo

Kim

Ban

2012

The Laryngoscope

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“…La aparición de un VPPB tras traumatismos cefálicos quirúrgicos no es excepcional, habiéndose comunicado tras intervenciones quirúrgicas diversas como la maxilectomía, o la eliminación de tumores óseos craneales usando martillo y escoplo (18,19), y el tipo de TC que ha causado el VPPB no es sustancialmente distinto del provocado con el osteótomo usado durante algunos procedimientos dentales. En nuestra casuística sólo 1 caso de 76 (1,3%) presento un VPPB tras el uso del osteótomo sobre el maxilar pero otros autores han comunicado mayores frecuencias que la nuestra.…”

Section: Discussionunclassified

Vértigo posicional paroxístico benigno relacionado con los tratamientos dentales

Martínez

Rodríguez²

2012

Av Odontoestomatol

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Crovetto Martínez R, Martínez Rodríguez A. Vértigo posicional paroxístico benigno relacionado con los tratamientos dentales AVANCES EN ODONTOESTOMATOLOGÍA/191 RESUMEN Introducción. El vértigo posicional paroxístico benigno (VPPB) es el vértigo más frecuente, con una prevalencia anual del 1,6% en la población general. Puede ser causado por traumatismo craneal. El VPPB se desencadena con determinados movimientos cefálicos, como tumbarse en el sillón odontológico en posición supina. Los objetivos de este estudio son determinar la incidencia de presentación de VPPB durante los procedimientos dentales y analizar la incidencia de VPPB yatrógeno tras traumatismos craneales realizados con el osteótomo dental. Material y métodos. El estudio se ha realizado en un Centro Odontológico Integral, sobre pacientes consecutivos. Es un estudio observacional prospectivo. En cada paciente tratado, se investigó, por anamnesis y observación directa, temor a presentar vértigo al reclinar el sillón hasta la horizontal o desencadenamiento del mismo al hacerlo, o si hubo vértigo en los días ulteriores al uso el osteótomo. Se han excluido pacientes menores de 30 años y aquellos con antecedentes vestibulares. Resultados. Hemos encontrado que un 1,7% de pacientes mayores de 30 años tienen temor a presentar vértigo si van a ser tumbados en posición horizontal, pero sólo el 0,17% de los mismos han presentado un verdadero VPPB al hacerlo. 1.3% de los sujetos en los que se uso el osteótomo durante el procedimiento dental presentaron un VPPB yatrógeno. Discusión. El VPPB puede presentarse en los pacientes en el momento de tumbarles en situación horizontal para realizar trabajos dentales. Además, hemos encontrado que el uso del osteótomo en odontología puede ser un factor yatrógeno en el VPPB.Palabras clave: Vértigo posicional paroxístico benigno, tratamientos dentales.

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Benign paroxysmal positional vertigo resulting from surgical trauma

Cited by 19 publications

References 4 publications

Benign Paroxysmal Positional Vertigo after Dental Procedures: A Population-Based Case-Control Study

Benign Paroxysmal Positional Vertigo after Dental Procedures: A Population-Based Case-Control Study

Benign paroxysmal positional vertigo accompanied by sudden sensorineural hearing loss: A comparative study with idiopathic benign paroxysmal positional vertigo

Vértigo posicional paroxístico benigno relacionado con los tratamientos dentales

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