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Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform
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Benign paroxysmal positional vertigo as a complication of sinus floor elevation
Moon-Sun Kim1, Jae-Kwan Lee, Beom-Seok Chang
1Department of Periodontology, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.
Journal of Periodontal & Implant Science
|May 26, 2010
Summary
Osteotome sinus floor elevation (OSFE) can lead to benign paroxysmal positional vertigo (BPPV). This case report details a patient who developed BPPV after OSFE, requiring multiple Epley maneuvers for resolution.
Area of Science:
- Dental Implantology
- Otolaryngology
- Neurosurgery
Background:
- Osteotome sinus floor elevation (OSFE) is a common dental implant procedure for resorbed posterior maxilla.
- Benign paroxysmal positional vertigo (BPPV) has emerged as a rare postoperative complication of OSFE.
Observation:
- A 27-year-old male patient developed dizziness and nausea immediately following OSFE and dental implant placement.
- The patient was diagnosed with right posterior canal BPPV.
Findings:
- Initial treatment with anti-vertigo medication and one Epley maneuver was insufficient.
- Successful resolution of BPPV symptoms was achieved after repeated Epley maneuvers on subsequent days.
- The patient remained symptom-free one year post-procedure.
Implications:
- Surgeons performing OSFE should screen patients for a history of vertigo.
- Awareness of BPPV symptoms post-OSFE is crucial for timely diagnosis and management.
- Prompt referral to an otorhinolaryngologist is recommended for incapacitating BPPV symptoms.
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