Abstract

Objective:To compare the effectiveness of canalith repositioning procedure between BPPV secondary to sudden sensorineural hearing loss(SSNHL) group and idiopathic BPPV(i-BPPV) group. Methods:A retrospective study of patients with evidence of idiopathic BPPV or SSNHL with BPPV. All participants were identified and categorized by using the Dix-Hallpike test and roll test, and then followed by canalith repositioning procedures (CRPs). The assessment of outcome was conducted at one-week post-CRPs. Results:Sixty-four BPPV patients secondary to sudden sensorineural hearing loss and 328 patients with idiopathic BPPV were included. The posterior canal is the most affected in both group. At one-week post-treatment, the effectiveness of CRPs in the BPPV with SSNHL group was significantly lower than that of the i-BPPV group (P<0.001). Conclusion:The clinical characteristics of BPPV secondary to SSNHL were like those of i-BPPV, while BPPV secondary to SSNHL was associated with poorer outcomes than i-BPPV when treated by CRPs.

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