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Benign paroxysmal positional vertigo following septorhinoplasty
Eltaf Ayca Ozbal Koc1, Bulent Koc, Esra Eryaman
1Department of Otorhinolaryngology, Baskent University, Istanbul Hospital, Cevre Hospital, Istanbul, Turkey. ozbalayca@yahoo.com
The Journal of Craniofacial Surgery
|January 26, 2013
Summary
Benign paroxysmal positional vertigo (BPPV) can rarely occur after septorhinoplasty surgery. Early diagnosis and repositioning maneuvers like the Epley maneuver are key for treating this unusual post-surgical complication.
Area of Science:
- Otolaryngology
- Neurology
Background:
- Septorhinoplasty is a common surgical procedure for nasal deformity and breathing issues.
- Post-surgical vertigo is an uncommon but potentially distressing complication.
Observation:
- Two young women developed vertigo on the second and third postoperative days after septorhinoplasty.
- Patients experienced vertigo triggered by changes in position, with no prior ear issues or vertigo.
- The Dix-Hallpike maneuver confirmed characteristic nystagmus, indicative of BPPV.
Findings:
- Right posterior canal benign paroxysmal positional vertigo (BPPV) was diagnosed in both patients.
- Both patients responded successfully to the Epley canalith repositioning maneuver.
Implications:
- This case series highlights BPPV as a rare but possible complication following septorhinoplasty.
- Surgeons should consider BPPV in patients presenting with vertigo or dizziness post-operatively.
- Increased awareness and investigation for BPPV can improve diagnosis and management of post-surgical vertigo.
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