Tympanostomy tube placement for pressure‐sensitive vertigo
Abstract Objective To evaluate tympanostomy tube placement in patients with pressure‐sensitive vertigo. Methods Retrospective case series. Results Six patients with pressure‐sensitive vertigo reported resolution of their vertigo and other vestibular symptoms after placement of the tympanostomy tubes...
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Laryngoscope Investigative Otolaryngology |
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| Online Access: | https://doi.org/10.1002/lio2.860 |
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| _version_ | 1850282153577807872 |
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| author | Mehdi Abouzari Karen Tawk Cecilia H. H. Nguyen Adwight Risbud Hamid R. Djalilian |
| author_facet | Mehdi Abouzari Karen Tawk Cecilia H. H. Nguyen Adwight Risbud Hamid R. Djalilian |
| author_sort | Mehdi Abouzari |
| collection | DOAJ |
| description | Abstract Objective To evaluate tympanostomy tube placement in patients with pressure‐sensitive vertigo. Methods Retrospective case series. Results Six patients with pressure‐sensitive vertigo reported resolution of their vertigo and other vestibular symptoms after placement of the tympanostomy tubes. All recurrences of symptoms were due to either extrusion or plugging of the tubes. All patients fulfilled the criteria for vestibular migraine. None of the patients had superior canal dehiscence on imaging or precedent event that triggered the problem, and all had a negative fistula test. Conclusion Tympanostomy tube placement should be considered in selected patients with vertigo exacerbated by seemingly small changes in atmospheric pressure (e.g., just prior to thunderstorms, air travel, or travel to the mountains). By eliminating the capability of the tympanic membrane to sense changes in pressure with a tube, patients with pressure‐induced vertigo (in the absence of perilymph fistula or superior canal dehiscence) may have relief of their symptoms. Level of Evidence: IV. |
| format | Article |
| id | doaj-art-6aa9fef41b09431f925808c3a26b1f36 |
| institution | OA Journals |
| issn | 2378-8038 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj-art-6aa9fef41b09431f925808c3a26b1f362025-08-20T01:48:03ZengWileyLaryngoscope Investigative Otolaryngology2378-80382022-12-01761987199110.1002/lio2.860Tympanostomy tube placement for pressure‐sensitive vertigoMehdi Abouzari0Karen Tawk1Cecilia H. H. Nguyen2Adwight Risbud3Hamid R. Djalilian4Department of Otolaryngology–Head and Neck Surgery University of California Irvine California USADepartment of Otolaryngology–Head and Neck Surgery University of California Irvine California USADepartment of Otolaryngology–Head and Neck Surgery University of California Irvine California USADepartment of Otolaryngology–Head and Neck Surgery University of California Irvine California USADepartment of Otolaryngology–Head and Neck Surgery University of California Irvine California USAAbstract Objective To evaluate tympanostomy tube placement in patients with pressure‐sensitive vertigo. Methods Retrospective case series. Results Six patients with pressure‐sensitive vertigo reported resolution of their vertigo and other vestibular symptoms after placement of the tympanostomy tubes. All recurrences of symptoms were due to either extrusion or plugging of the tubes. All patients fulfilled the criteria for vestibular migraine. None of the patients had superior canal dehiscence on imaging or precedent event that triggered the problem, and all had a negative fistula test. Conclusion Tympanostomy tube placement should be considered in selected patients with vertigo exacerbated by seemingly small changes in atmospheric pressure (e.g., just prior to thunderstorms, air travel, or travel to the mountains). By eliminating the capability of the tympanic membrane to sense changes in pressure with a tube, patients with pressure‐induced vertigo (in the absence of perilymph fistula or superior canal dehiscence) may have relief of their symptoms. Level of Evidence: IV.https://doi.org/10.1002/lio2.860atmospheric pressureMeniere's diseasetympanostomy tubevertigovestibular migraineweather changes |
| spellingShingle | Mehdi Abouzari Karen Tawk Cecilia H. H. Nguyen Adwight Risbud Hamid R. Djalilian Tympanostomy tube placement for pressure‐sensitive vertigo Laryngoscope Investigative Otolaryngology atmospheric pressure Meniere's disease tympanostomy tube vertigo vestibular migraine weather changes |
| title | Tympanostomy tube placement for pressure‐sensitive vertigo |
| title_full | Tympanostomy tube placement for pressure‐sensitive vertigo |
| title_fullStr | Tympanostomy tube placement for pressure‐sensitive vertigo |
| title_full_unstemmed | Tympanostomy tube placement for pressure‐sensitive vertigo |
| title_short | Tympanostomy tube placement for pressure‐sensitive vertigo |
| title_sort | tympanostomy tube placement for pressure sensitive vertigo |
| topic | atmospheric pressure Meniere's disease tympanostomy tube vertigo vestibular migraine weather changes |
| url | https://doi.org/10.1002/lio2.860 |
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