FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to otorhinolaryngology. A course of conservative vertigolytic treatment is carried out. If it is ineffective, a behind-the-ear antromastoidotomy is performed and laser radiation is applied through the distal end of a quartz-polymer fiber with a diameter of 1000 microns on the lateral bone wall of the semicircular canal at the visualized border of the ampulla and the canal. The light guide is brought close to the bone. The impact is carried out under the control of nystagmus. As a laser action, a KTP laser with a wavelength of 0.53 microns with energy of 2J and pulse duration of 1-50 ms is used, while the action is carried out in packets of 2 pulses until the nystagmus of oppression is enhanced from I to II degrees. Control of nystagmus is carried out visually.
EFFECT: invention allows increasing effectiveness of the treatment of intracranial hypotension syndrome by reducing the excitability of vestibular neurons, achieving relief or a significant decrease in the severity of dizziness attacks and improving the quality of life of patients.
1 cl, 2 ex
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Authors
Dates
2021-06-21—Published
2020-09-15—Filed