Vertigo Management

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Dr. Saima Khan - Vertigo Specialist/Doctor in Majiwada, Thane

As an ENT surgeon, the management and treatment of vertigo require a comprehensive approach based on the specific underlying cause. Here’s a detailed treatment guide focused on clinical management, surgical options, and patient care for various vertigo-related conditions:

Dr. Saima Khan is a highly skilled ENT surgeon and vertigo specialist in Majiwada, Thane, dedicated to providing care for balance and inner ear disorders. Practicing at Dhanraj Healthcare. She specializes in the advanced clinical and surgical management of conditions such as Benign Paroxysmal Positional Vertigo (BPPV), Meniere’s disease, and vestibular neuritis. From performing precise Epley maneuvers and vestibular rehabilitation to offering specialized surgical options like posterior canal plugging and endolymphatic sac decompression.

Benign Paroxysmal Positional Vertigo (BPPV):

BPPV is one of the most common causes of vertigo and is caused by displaced otoliths in the semicircular canals of the inner ear.

Non-Surgical Treatment:

  • Epley Maneuver (Canalith Repositioning): This is the first-line treatment for posterior canal BPPV. The Epley maneuver involves a series of head and body movements that reposition the displaced otoliths back into the utricle where they no longer cause vertigo. As an ENT surgeon, you will often perform this maneuver in the clinic and can teach the patient to repeat it at home.
  • Semont Maneuver: Another repositioning technique used if the Epley maneuver is not successful. This involves quick head movements and can be effective in clearing otoliths.

Surgical Treatment:

  • Posterior Canal Plugging Surgery: In rare, persistent cases where repositioning maneuvers fail, canal plugging surgery can be performed. This involves blocking the posterior semicircular canal to prevent movement of displaced particles that trigger vertigo. This surgery has a high success rate in eliminating BPPV with minimal impact on hearing.

Meniere’s Disease:

Meniere’s disease is characterized by episodes of vertigo, tinnitus, fluctuating hearing loss, and aural fullness due to excess fluid (endolymph) in the inner ear.

Non-Surgical Treatment:

  • Medical Management
  • Intratympanic Steroid Injections

Surgical Treatment

  • Endolymphatic Sac Decompression or Shunt Surgery
  • Vestibular Nerve Section
  • Labyrinthectomy

Vestibular Neuritis/Labyrinthitis

Vestibular neuritis is inflammation of the vestibular nerve, and labyrinthitis involves both the vestibular and cochlear nerves, sometimes resulting in hearing loss.

Non-Surgical Treatment:

  • Corticosteroids
  • Antiviral Agents
  • Vestibular Suppressants and Antiemetics

Rehabilitation:

  • Vestibular Rehabilitation Therapy (VRT)

Frequently Asked Questions

What is vertigo?

Vertigo is a condition where you feel a spinning sensation or imbalance, even when you are still.

What are the common causes of vertigo?

Common causes include inner ear problems like BPPV, Meniere’s disease, vestibular neuritis, and infections.

What are the symptoms of vertigo?

Symptoms may include dizziness, nausea, imbalance, hearing changes, and a spinning feeling.

Is vertigo a serious condition?

Most cases are not serious, but persistent vertigo should be evaluated by an ENT specialist to rule out underlying issues.

How is vertigo diagnosed?

Doctors diagnose vertigo through clinical examination, hearing tests, balance tests, and sometimes imaging like MRI or CT scans.

What is the best treatment for vertigo?

Treatment depends on the cause and may include repositioning maneuvers, medications, vestibular therapy, or surgery in rare cases.

When should I see a doctor for vertigo?

You should consult a doctor if vertigo is frequent, severe, or associated with hearing loss, headache, or neurological symptoms.

Is surgery required for vertigo treatment?

Surgery is rarely needed and is only considered when symptoms do not improve with non-surgical treatments.

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Quick Contact

  • Address Shop 11, J wing, Rustomjee Azziano, Urbania, Near Wellness Forever Chemist, Majiwada, Thane, Maharashtra 400601.
  • Phone +91 9619344790