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Success of Posterior Semicircular Canal Occlusion and Application of the Dizziness Handicap Inventory
To determine the long-term efficacy and patient satisfaction of posterior semicircular canal occlusion (PSCO) as a treatment for intractable benign paroxysmal positional vertigo (BPPV). Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demog...
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| Published in: | Otolaryngology-head and neck surgery 2006-03, Vol.134 (3), p.424-430 |
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| Main Authors: | , , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c4558-6ab4631719db87c42e66ce62fe207b32ecbca37213d6e1d6564659df696069fa3 |
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| cites | cdi_FETCH-LOGICAL-c4558-6ab4631719db87c42e66ce62fe207b32ecbca37213d6e1d6564659df696069fa3 |
| container_end_page | 430 |
| container_issue | 3 |
| container_start_page | 424 |
| container_title | Otolaryngology-head and neck surgery |
| container_volume | 134 |
| creator | Shaia, Wayne T. Zappia, John J. Bojrab, Dennis I. LaRouere, Michael L. Sargent, Eric W. Diaz, Rodney C. |
| description | To determine the long-term efficacy and patient satisfaction of posterior semicircular canal occlusion (PSCO) as a treatment for intractable benign paroxysmal positional vertigo (BPPV).
Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demographic data, clinical records, and audiometric data were reviewed. Dix-Hallpike maneuver, dizziness handicap inventory (DHI), and a specific PSCO questionnaire (PCOQ) were used to measure outcome.
Twenty-eight patients underwent PSCO. The mean follow-up time was 40 months. All patients had normalization of the Hallpike test. DHI scores of 20 patients were recorded. The mean preoperative score was 70 compared with postoperative mean of 13 (
P < 0.001). Mild hearing loss was found in 1 patient.
PSCO is highly successful. The DHI scores postoperatively show significant improvement. The PCOQ revealed an overall 85% patient satisfaction rate. PSCO is a safe and effective intervention for intractable BPPV with a high patient satisfaction rate.
EBM rating: C-4 |
| doi_str_mv | 10.1016/j.otohns.2005.10.035 |
| format | article |
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Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demographic data, clinical records, and audiometric data were reviewed. Dix-Hallpike maneuver, dizziness handicap inventory (DHI), and a specific PSCO questionnaire (PCOQ) were used to measure outcome.
Twenty-eight patients underwent PSCO. The mean follow-up time was 40 months. All patients had normalization of the Hallpike test. DHI scores of 20 patients were recorded. The mean preoperative score was 70 compared with postoperative mean of 13 (
P < 0.001). Mild hearing loss was found in 1 patient.
PSCO is highly successful. The DHI scores postoperatively show significant improvement. The PCOQ revealed an overall 85% patient satisfaction rate. PSCO is a safe and effective intervention for intractable BPPV with a high patient satisfaction rate.
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Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demographic data, clinical records, and audiometric data were reviewed. Dix-Hallpike maneuver, dizziness handicap inventory (DHI), and a specific PSCO questionnaire (PCOQ) were used to measure outcome.
Twenty-eight patients underwent PSCO. The mean follow-up time was 40 months. All patients had normalization of the Hallpike test. DHI scores of 20 patients were recorded. The mean preoperative score was 70 compared with postoperative mean of 13 (
P < 0.001). Mild hearing loss was found in 1 patient.
PSCO is highly successful. The DHI scores postoperatively show significant improvement. The PCOQ revealed an overall 85% patient satisfaction rate. PSCO is a safe and effective intervention for intractable BPPV with a high patient satisfaction rate.
EBM rating: C-4</description><subject>Adult</subject><subject>Aged</subject><subject>Audiometry, Pure-Tone</subject><subject>Auditory Threshold - physiology</subject><subject>Dizziness - prevention & control</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications</subject><subject>Quality of Life</subject><subject>Retrospective Studies</subject><subject>Semicircular Canals - surgery</subject><subject>Treatment Outcome</subject><subject>Vertigo - surgery</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNqNkNGK1DAUhoMo7rj6BiK98q6zSdqeNCDC7ug6C4sjrF6HND11M3SSmrQrs09vSgf2Tr06nJP_-wkfIW8ZXTPK4GK_9qO_d3HNKa3SaU2L6hlZMSpFDjUTz8mKMlnmlZT1GXkV455SCiDES3LGoKK0LOSK4N1kDMaY-S775uOIwfqQ3eHBGhvM1OuQbbTTfbYzpp-i9S7Trs0uh6G3Ro_znsjxHrNP9vHRurlqmxLpcchu3AO60Yfja_Ki033EN6d5Tn5cf_6-2ea3uy83m8vb3JRVVeegmxIKJphsm1qYkiOAQeAdciqagqNpjC4EZ0ULyFqooIRKth1IoCA7XZyT90vvEPyvCeOoDjYa7Hvt0E9RgQBZ8IKlYLkETfAxBuzUEOxBh6NiVM161V4tetWsd74mvQl7d-qfmgO2T9DJZwp8WAK_bY_H_ypVu-3Xq2tOOa8TzhY86p-o9n4KSX38158-LgwmsQ8Wg4rGojPY2oBmVK23fy_4A_pTsZg</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>Shaia, Wayne T.</creator><creator>Zappia, John J.</creator><creator>Bojrab, Dennis I.</creator><creator>LaRouere, Michael L.</creator><creator>Sargent, Eric W.</creator><creator>Diaz, Rodney C.</creator><general>Mosby, Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200603</creationdate><title>Success of Posterior Semicircular Canal Occlusion and Application of the Dizziness Handicap Inventory</title><author>Shaia, Wayne T. ; Zappia, John J. ; Bojrab, Dennis I. ; LaRouere, Michael L. ; Sargent, Eric W. ; Diaz, Rodney C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4558-6ab4631719db87c42e66ce62fe207b32ecbca37213d6e1d6564659df696069fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Audiometry, Pure-Tone</topic><topic>Auditory Threshold - physiology</topic><topic>Dizziness - prevention & control</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications</topic><topic>Quality of Life</topic><topic>Retrospective Studies</topic><topic>Semicircular Canals - surgery</topic><topic>Treatment Outcome</topic><topic>Vertigo - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shaia, Wayne T.</creatorcontrib><creatorcontrib>Zappia, John J.</creatorcontrib><creatorcontrib>Bojrab, Dennis I.</creatorcontrib><creatorcontrib>LaRouere, Michael L.</creatorcontrib><creatorcontrib>Sargent, Eric W.</creatorcontrib><creatorcontrib>Diaz, Rodney C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shaia, Wayne T.</au><au>Zappia, John J.</au><au>Bojrab, Dennis I.</au><au>LaRouere, Michael L.</au><au>Sargent, Eric W.</au><au>Diaz, Rodney C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Success of Posterior Semicircular Canal Occlusion and Application of the Dizziness Handicap Inventory</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2006-03</date><risdate>2006</risdate><volume>134</volume><issue>3</issue><spage>424</spage><epage>430</epage><pages>424-430</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><notes>Presented at the American Academy of Otolaryngology–Head and Neck Surgery Annual Meeting, New Orleans, LA, September 26‐29, 2005.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>To determine the long-term efficacy and patient satisfaction of posterior semicircular canal occlusion (PSCO) as a treatment for intractable benign paroxysmal positional vertigo (BPPV).
Retrospective analysis of patients with BPPV who underwent PSCO was conducted in a tertiary referral center. Demographic data, clinical records, and audiometric data were reviewed. Dix-Hallpike maneuver, dizziness handicap inventory (DHI), and a specific PSCO questionnaire (PCOQ) were used to measure outcome.
Twenty-eight patients underwent PSCO. The mean follow-up time was 40 months. All patients had normalization of the Hallpike test. DHI scores of 20 patients were recorded. The mean preoperative score was 70 compared with postoperative mean of 13 (
P < 0.001). Mild hearing loss was found in 1 patient.
PSCO is highly successful. The DHI scores postoperatively show significant improvement. The PCOQ revealed an overall 85% patient satisfaction rate. PSCO is a safe and effective intervention for intractable BPPV with a high patient satisfaction rate.
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| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2006-03, Vol.134 (3), p.424-430 |
| issn | 0194-5998 1097-6817 |
| language | eng |
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| source | Wiley Online Library |
| subjects | Adult Aged Audiometry, Pure-Tone Auditory Threshold - physiology Dizziness - prevention & control Female Follow-Up Studies Hearing Loss, Sensorineural - etiology Humans Longitudinal Studies Male Middle Aged Patient Satisfaction Postoperative Complications Quality of Life Retrospective Studies Semicircular Canals - surgery Treatment Outcome Vertigo - surgery |
| title | Success of Posterior Semicircular Canal Occlusion and Application of the Dizziness Handicap Inventory |
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