When is surgery indicated in the treatment of benign paroxysmal positional vertigo (BPPV)?

Updated: Feb 15, 2018
  • Author: John C Li, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Surgery is usually reserved for those in whom CRP fails. It is not a first-line treatment because it is invasive and holds the possibility of complications such as hearing loss and facial nerve damage. Options include labyrinthectomy, posterior canal occlusion, singular neurectomy, vestibular nerve section, and transtympanic aminoglycoside application. All have a high chance of vertigo control.


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