Is the recurrence rate of otolith disease high?
Disease description:
I am 22 years old this year. Recently I heard that the recurrence rate of otolith disease (BPPV) is quite high, but I'm worried this might just be hearsay. I'm writing to ask whether the recurrence rate of otolith disease is indeed high.
Doctor's answer (1)
Dr. Lu Cheng
In general, there is a certain recurrence rate for otolith disorders, which is influenced by multiple factors.
With aging, the risk of recurrence may increase. This is because the structure and function of the inner ear gradually deteriorate in older individuals, making the otoliths more prone to dislodgement. Additionally, the body's ability to repair and compensate is relatively weaker, increasing the likelihood of otolith displacement after repositioning. Individuals with underlying conditions such as osteoporosis and diabetes have a higher recurrence rate. Osteoporosis can lead to abnormal bone metabolism in the inner ear, making the otoliths more unstable; diabetes can affect the inner ear's blood circulation and nerve function, increasing the risk of recurrence.
If otolith repositioning is incomplete, residual otolith particles may continue to stimulate the semicircular canals, leading to persistent or recurrent dizziness symptoms. Moreover, even if the otoliths are successfully repositioned, failure to follow the doctor's advice for appropriate rehabilitation exercises after repositioning may affect the recovery of inner ear balance function and increase the risk of recurrence.
The recurrence rate of otolith disorders varies among individuals, with reported rates ranging from 10% to 50%. To reduce the likelihood of recurrence, patients should follow medical advice after repositioning treatment, ensure adequate rest, avoid vigorous head movements, maintain healthy lifestyle habits and a positive mindset, and actively treat related underlying conditions and ear diseases.
