[Standardized vestibular rehabilitation should be emphasized after surgical treatment involving vestibular system]

Zhonghua Yi Xue Za Zhi. 2021 Jul 13;101(26):2021-2024. doi: 10.3760/cma.j.cn112137-20210303-00550.
[Article in Chinese]

Abstract

Surgical treatment involving vestibular system includes intractable vertigo surgery, inner ear surgery and vestibular tumor surgery. These operations often lead to the weakening or even loss of vestibular function, or further aggravation of the original dysfunction. If there is no standardized treatment after operation, patients are prone to recurrent vertigo, or long-term blurred vision and/or imbalance, as well as other symptoms. Through the use of medicines to promote vestibular compensation and standardized non-invasive vestibular rehabilitation training, symptoms can be eliminated as soon as possible, the duration of vestibular compensation can be shortened, stable vestibular compensation could be rapidly established, and thus the postoperative quality of life for those patients could be improved. Therefore, we should pay attention to standardize the vestibular rehabilitation after surgical treatment involving vestibular system.

涉及前庭系统的外科治疗包括损害前庭功能的顽固性眩晕手术、累及前庭系统的内耳手术以及前庭系统肿瘤手术等。这些手术常会导致该侧前庭功能减弱甚至丧失,或原有功能障碍进一步加重。如果术后未进行规范的干预治疗,患者易出现反复发作的眩晕,或长时间的视物晃动和(或)平衡不稳等症状。通过使用促进前庭代偿的药物以及规范的无创性前庭康复训练,能够尽快消除症状,缩短前庭代偿的时程,并有利于快速建立稳定的前庭代偿,提高患者术后生活质量。因此,应该重视与前庭系统相关外科治疗后系统而规范的前庭康复。.

MeSH terms

  • Dizziness
  • Humans
  • Otologic Surgical Procedures*
  • Quality of Life
  • Vertigo
  • Vestibule, Labyrinth*