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Benign Paroxysmal Positional Vertigo After Oral and Maxillofacial Surgery: Our Experience and Review of Literature

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Abstract

Objectives

The aim of our study is to evaluate the influence of patient risk factors and the length of surgical time on the onset of BPPV (benign paroxysmal positional vertigo) and suggest surgical and clinical strategies to prevent this rare complication.

Method

Our retrospective study analyzes that, in 2 years, 281 patients, divided into three groups, underwent wisdom teeth extraction, sinus lift elevation and orthognathic surgery, at the Oral and Maxillofacial Department of the University of Naples “Federico II.”

Results

Twenty-one patients presented postoperative BPPV. Some comorbidities, like dyslipidemia, high cholesterol levels, vascular problems, endocrinological disorders, perimenopausal age, female gender, cranial trauma, neurologic disorders, migraine, hypovitaminosis D, autoimmune disease, flogosis of inner ear, can be risk factors to the occurrence of postoperative vertigo.

Conclusion

Our statistical analysis revealed a relationship between surgical time and comorbidity and onset of vertigo for each group of patients.

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Authors and Affiliations

  1. Otolaryngology Unit, Department of Medicine, Surgery and Odontoiatrics, University of Salerno, Via Giovanni Paolo II 132, 84084, Fisciano, Salerno, Italy

    Marzia Petrocelli, Alfonso Scarpa & Ettore Cassandro

  2. Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Pansini 9, 80100, Naples, Italy

    Carolina Sbordone, Giovanni Salzano, Giovanni Dell’Aversana Orabona & Luigi Califano

  3. Dentistry Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Pansini 9, 80100, Naples, Italy

    Francesco Maria Cassandro & Luca Ramaglia

  4. Neurosurgery Unit, Department of Medicine, Surgery and Odontoiatrics, University of Salerno, Via Giovanni Paolo II 132, 84084, Fisciano, Salerno, Italy

    Giorgio Iaconetta

Authors
  1. Marzia Petrocelli
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  2. Carolina Sbordone
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  3. Giovanni Salzano
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  4. Giovanni Dell’Aversana Orabona
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  5. Francesco Maria Cassandro
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  6. Alfonso Scarpa
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  7. Luca Ramaglia
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  8. Giorgio Iaconetta
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  9. Luigi Califano
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  10. Ettore Cassandro
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Corresponding author

Correspondence to Giovanni Salzano.

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Petrocelli, M., Sbordone, C., Salzano, G. et al. Benign Paroxysmal Positional Vertigo After Oral and Maxillofacial Surgery: Our Experience and Review of Literature. J. Maxillofac. Oral Surg. 19, 527–531 (2020). https://doi.org/10.1007/s12663-019-01209-w

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  • DOI: https://doi.org/10.1007/s12663-019-01209-w

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