Protracted benign paroxysmal positional vertigo following osteotome sinus floor elevation: a case report

Area of Science:

• Dental Surgery
• Neurology
• Otolaryngology

Background:

• Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.
• BPPV can be triggered by head movements and changes in posture.
• Potential etiologies include head trauma, infection, vascular issues, and surgical procedures.

Observation:

• A 49-year-old female experienced severe vertigo and nausea post-osteotome sinus floor elevation and dental implant placement.
• Symptoms persisted despite medication and were exacerbated by head position changes.
• Diagnosis of BPPV contralateral to the surgical site was made 14 days after the procedure.

Findings:

• The patient was diagnosed with benign paroxysmal positional vertigo (BPPV) contralateral to the surgical site.
• Treatment with the Epley maneuver led to gradual symptom resolution over 3 months.
• No recurrence was noted during a subsequent 3-month follow-up period.

Implications:

• This case highlights a rare complication of osteotome sinus floor elevation, leading to BPPV.
• Early diagnosis and appropriate management, such as the Epley maneuver, are crucial for recovery.
• Further research into the prevention and management of BPPV following dental implant procedures is warranted.