Journal of Periodontal and Implant Science

  • 제40권2호
  • /
  • Pages.86-89
  • /
  • 2010
  • /
  • 2093-2278(pISSN)
  • /
  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지
DOI QR코드

DOI QR Code

Benign paroxysmal positional vertigo as a complication of sinus floor elevation

  • Kim, Moon-Sun (Department of Periodontology, Gangneung-Wonju National University College of Dentistry) ;
  • Lee, Jae-Kwan (Department of Periodontology, Gangneung-Wonju National University College of Dentistry) ;
  • Chang, Beom-Seok (Department of Periodontology, Gangneung-Wonju National University College of Dentistry) ;
  • Um, Heung-Sik (Department of Periodontology, Gangneung-Wonju National University College of Dentistry)
  • 투고 : 2009.12.16
  • 심사 : 2010.02.22
  • 발행 : 2010.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Osteotome sinus floor elevation (OSFE) is an often-used technique of great utility in certain implant patients with resorbed posterior maxilla. Recently benign paroxysmal positional vertigo (BPPV) has been reported as an early postoperative complication following OSFE. Although OSFE-induced BPPV commonly resolves itself within a month without treatment, this complication can be a cause of trouble between the implant surgeon and patient. This report presents a case of BPPV following OSFE. Methods: A 27-year-old man without any significant medical problems and missing his maxillary right first molar, was scheduled for OSFE and simultaneous implant placement. Results: The patient suffered dizziness accompanied by nausea immediately after implant placement using OSFE. Following referral to the ear nose throat clinic, "right posterior canal BPPV" was diagnosed. Despite anti vertigo medication and a single episode of the Epley maneuver, the condition did not improve completely. The Epley maneuver was then applied 7 and 8 days later and the symptoms of BPPV disappeared. One year later, the patient remained symptom-free. Conclusions: Before sinus elevation with an osteotome, implant surgeons should screen out patients with a history of vertigo, to diminish the possibility of BPPV. Operators should be aware of BPPV symptoms. As the symptoms may be very incapacitating, immediate referral to an otorhinolaryngologist is recommended.

키워드

참고문헌

  1. Summers RB. The osteotome technique: Part 3--Less invasive methods of elevating the sinus floor. Compendium 1994;15:698-704.
  2. Su GN, Tai PW, Su PT, Chien HH. Protracted benign paroxysmal positional vertigo following osteotome sinus floor elevation: a case report. Int J Oral Maxillofac Implants 2008;23:955-9.
  3. Penarrocha-Diago M, Rambla-Ferrer J, Perez V, Perez-Garrigues H. Benign paroxysmal vertigo secondary to placement of maxillary implants using the alveolar expansion technique with osteotomes: a study of 4 cases. Int J Oral Maxillofac Implants 2008;23:129-32.
  4. Penarrocha M, Perez H, Garcia A, Guarinos J. Benign paroxysmal positional vertigo as a complication of osteotome expansion of the maxillary alveolar ridge. J Oral Maxillofac Surg 2001;59:106-7. https://doi.org/10.1053/joms.2001.19307
  5. Di Girolamo M, Napolitano B, Arullani CA, Bruno E, Di Girolamo S. Paroxysmal positional vertigo as a complication of osteotome sinus floor elevation. Eur Arch Otorhinolaryngol 2005;262:631-3. https://doi.org/10.1007/s00405-004-0879-9
  6. Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:S47-81. https://doi.org/10.1016/j.otohns.2008.08.022
  7. Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-29.
  8. Saker M, Ogle O. Benign paroxysmal positional vertigo subsequent to sinus lift via closed technique. J Oral Maxillofac Surg 2005;63:1385-7. https://doi.org/10.1016/j.joms.2005.05.296
  9. Kaplan DM, Attal U, Kraus M. Bilateral benign paroxysmal positional vertigo following a tooth implantation. J Laryngol Otol 2003;117:312-3.
  10. Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341-54.
  11. Herdman SJ. Treatment of benign paroxysmal positional vertigo. Phys Ther 1990;70:381-8.
  12. von Brevern M, Seelig T, Radtke A, Tiel-Wilck K, Neuhauser H, Lempert T. Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial. J Neurol Neurosurg Psychiatry 2006;77:980-2. https://doi.org/10.1136/jnnp.2005.085894

피인용 문헌

  1. Evaluation of benign paroxysmal positional vertigo following Le Fort I osteotomy vol.46, pp.3, 2010, https://doi.org/10.1016/j.ijom.2016.10.007
  2. Effects of Rhinoplasty on Labyrinthine Function vol.38, pp.11, 2018, https://doi.org/10.1093/asj/sjy117
  3. Efficacy of Dental Implants Placements between Lateral and Crestal Sinus Lift Techniques: A Split-Mouth Study vol.13, pp.1, 2019, https://doi.org/10.2174/1874210601913010346