Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory

Wayne T. Shaia, John J. Zappia, Dennis I. Bojrag, Michael L. LaRouere, Eric W. Sargent, Rodney C Diaz

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVES: 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). STUDY DESIGN AND SETTING: 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. RESULTS: 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. CONCLUSIONS AND SIGNIFICANCE: 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

Original languageEnglish (US)
Pages (from-to)424-430
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume134
Issue number3
DOIs
StatePublished - Mar 2006
Externally publishedYes

Fingerprint

Semicircular Canals
Dizziness
Equipment and Supplies
Patient Satisfaction
Hearing Loss
Tertiary Care Centers
Demography
Outcome Assessment (Health Care)
Benign Paroxysmal Positional Vertigo

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory. / Shaia, Wayne T.; Zappia, John J.; Bojrag, Dennis I.; LaRouere, Michael L.; Sargent, Eric W.; Diaz, Rodney C.

In: Otolaryngology - Head and Neck Surgery, Vol. 134, No. 3, 03.2006, p. 424-430.

Research output: Contribution to journalArticle

Shaia, Wayne T. ; Zappia, John J. ; Bojrag, Dennis I. ; LaRouere, Michael L. ; Sargent, Eric W. ; Diaz, Rodney C. / Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory. In: Otolaryngology - Head and Neck Surgery. 2006 ; Vol. 134, No. 3. pp. 424-430.
@article{71c36eb6b2c4442ba83720d44a12c5ff,
title = "Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory",
abstract = "OBJECTIVES: 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). STUDY DESIGN AND SETTING: 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. RESULTS: 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. CONCLUSIONS AND SIGNIFICANCE: 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",
author = "Shaia, {Wayne T.} and Zappia, {John J.} and Bojrag, {Dennis I.} and LaRouere, {Michael L.} and Sargent, {Eric W.} and Diaz, {Rodney C}",
year = "2006",
month = "3",
doi = "10.1016/j.otohns.2005.10.035",
language = "English (US)",
volume = "134",
pages = "424--430",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Success of posterior semicircular canal occlusion and application of the dizziness handicap inventory

AU - Shaia, Wayne T.

AU - Zappia, John J.

AU - Bojrag, Dennis I.

AU - LaRouere, Michael L.

AU - Sargent, Eric W.

AU - Diaz, Rodney C

PY - 2006/3

Y1 - 2006/3

N2 - OBJECTIVES: 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). STUDY DESIGN AND SETTING: 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. RESULTS: 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. CONCLUSIONS AND SIGNIFICANCE: 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

AB - OBJECTIVES: 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). STUDY DESIGN AND SETTING: 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. RESULTS: 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. CONCLUSIONS AND SIGNIFICANCE: 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

UR - http://www.scopus.com/inward/record.url?scp=33144462782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33144462782&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2005.10.035

DO - 10.1016/j.otohns.2005.10.035

M3 - Article

C2 - 16500439

AN - SCOPUS:33144462782

VL - 134

SP - 424

EP - 430

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 3

ER -