Demonstrating the reduction method of otoliths
Otolith reduction methods vary according to the type of semicircle canal. The following is a demonstration of common reduction methods: ** I. Poplar canal otoliths reduction method (Epley method)** 1. The patient sat on the examination table, and the examiner sat beside the table. He turned the patient's head 45 degrees to the affected side with both hands and tilted his head back 10 - 20 degrees. 2. Quickly press the patient down until he is lying flat for 20 to 30 seconds. 3. Turn your head 90 degrees to the non-affected side for 20 - 30 seconds. 4. Turn your body 90 degrees to the non-affected side, and quickly turn your head 90 degrees to the non-affected side for 20 - 30 seconds. 5. Maintain the above head and body angle and let the patient sit up for 20 - 30 seconds. Each position should be maintained for a certain amount of time during the reset process until the nystagmus or dizziness disappeared, usually at least 30 seconds. ** 2. Method of reduction for orthotropism horizontal semicircle canal otoliths (Barbecue method)** 1. Ask the patient to lie on his back at 30 degrees and turn his head and body at 90 degrees to the healthy side. 2. Then, he continued to turn 90 degrees to the healthy side. At this time, the patient's position was in the prone position. 3. He continued to turn 90 degrees to the side. 4. Finally, the patient was instructed to continue to turn 90 degrees and return to the supine position. Each position should be maintained for a period of time until the nystagmus and dizziness disappeared before changing to the next position. ** 3. Method of reduction for superior canal otoliths (Take the right ear as an example, the same goes for the left ear)** 1. The patient sat on the bed and lay down. He lowered his head 30 degrees and maintained it for about 30 seconds. The otolith moved downward. 2. He sat up with his chin against his sternum and his head raised 45 degrees for 30 seconds. 3. He sat up again and tilted his head forward 45 degrees. At this time, the otolith returned to the oval capsule and the reduction was successful. ** IV. Method of reduction for the treatment of otolith in the front semicircle canal (Yecovino's method)** 1. Sit down and keep your head in the right position. 2. Quickly lean back into a supine position, and continue to lean your head back as much as possible, at least 30 degrees. 3. After 2 - 3 minutes, the head was raised and bent forward. The chin was as close to the sternum as possible, and the chest was in a position. 4. After 2 - 3 minutes, sit up and look straight ahead. It should be noted that the reduction of otoliths must be performed under the diagnosis and guidance of a professional doctor. The patient cannot operate on his own. The novel "Shou Zang" is equally exciting. Everyone is welcome to click and read it!
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