Performing the diagnostic maneuvers only one more time in vertigo patients in the first clinical evaluation increases the diagnosis success in BPPV. Canalith repositioning maneuvers are effective and satisfactory treatment methods in BPPV.
Salivary gland tumors are rare head and neck tumors. The majority of these tumors are benign and include pleomorphic adenoma, monomorphic adenoma, oncocytoma, and papillary cystadenoma lymphomatosum. Oncocytoma is a rare benign salivary gland tumor. In this article, we report a 69-year-old female case of oncocytoma of the right parotid gland in whom fine needle aspiration cytology result was reported as a Warthin's tumor.
Aim: Though vertigo is a symptom which is defined by an individual as spinning of themselves or an object, it is generally defined by the patients as the sensation of falling, disequilibrium, dizziness and fainting. The main problem on the patients is the determination of the underlying illness. Most of vertigos have peripheral causes and benign paroxysmal positional vertigo takes the first place. It is followed by peripheral and central causes. Patients usually consult the policlinics of Ear, Nose and Throat, internal medicine, neurology in addition to emergency departments with balance disorders. These patients undergo examinations, screening methods, audiology and balance tests and routine blood tests. Material and Method: In this study in which 397 patients who consulted the hospital with complaints of vertigo between 2011 and 2017 evaluated retrospectively. Results: In our study, first of all peripheral causes and 44.8% of these were benign paroxysmal positional vertigo. Hyperparathyroidism was detected in 4 (1%) of the cases in our patient groups that the only complaint was dizziness and there were no other characteristics in the examinations. Parathyroid adenoma was detected in three of them and hyperplasia was detected in the other. In the ones who had adenoma after parathyroidectomy and in the other case after bisphosphonate treatment, both parathormone levels decreased to normal and vertigo complaints totally disappeared. Conclusion: It is recommended that parathormone values should be taken into account in the blood tests during the process of diagnosis in vertigo patients.
Benign paroxysmal positional vertigo is defined as a short, episodic, transient vertigo caused by changes in the position of the head. Objectives In this study, the effects of combined Epley and Semont maneuvers were investigated in patients with vertigo who were detected with some pathology in the posterior semicircular canal. Methods This prospective study, which was conducted between December 2016 and January 2018 at our clinic, included 196 patients with a typical history and positive Dix-Hallpike test with Videonystagmography (VNG). The patients were randomized into three groups as those who were subjected to the Epley, Semont or combined maneuvers. The patients were reevaluated after the first day, first week and first month following the maneuver. Evaluation of treatment response was based on the VNG test. Results Treatment rates of the Epley Group patients were 69.35% on the first day, 75.80% after the first week and 85.48% after the first month. The treatment rates of the Semont Group patients were found to be 63.26% on the first day, 75.51% after the first week and 81.63% after the first month. On the other hand, the treatment rates of the combined group patients were 85.88% on the first day, 90.58% after one week and 95.29% after one month. The treatment rate registered with the combined maneuver was found to be significantly higher than those in the Epley Group and the Semont Group (χ 2 = 6.685, p<0.05; χ 2 = 6.346, p<0.05). Six months after recovery, recurrence was registered in four patients in the Epley Group (6.4%) and five patients in the Semont Group (10.2%). Conclusion The results show that utilization of combined maneuvers in our study increased the success rate.
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