{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:39:38Z","timestamp":1778114378506,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T00:00:00Z","timestamp":1283299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To contrast clinical characteristics of secondary benign paroxysmal positional vertigo (s\u2010BPPV) with idiopathic BPPV (i\u2010BPPV).<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>SETTING<\/jats:title><jats:p>University hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>SUBJECTS AND METHODS<\/jats:title><jats:p>A total of 718 patients whose medical records were reviewed had BPPV. Sixty\u2010nine patients had existing inner ear diseases and thus were considered to have s\u2010BPPV. We reviewed demographics, concurrent causative disorders, involved area, and response to particle repositioning maneuvers for these s\u2010BPPV patients in comparison with i\u2010BPPV subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Female subjects with i\u2010BPPV outnumbered male subjects by a ratio of 1.9:1, but there was no significant sex difference for s\u2010BPPV patients. The diseases associated with s\u2010BPPV were idiopathic sudden sensory hearing loss (ISSHL, 50.7%), M\u00e9ni\u00e8re's disease (MD, 28.9%) and unilateral vestibulopathy such as acute vestibular neuronitis and herpes zoster oticus (20.2%). The posterior canal was most commonly involved in both i\u2010BPPV and s\u2010BPPV. The horizontal canal was the second most common, followed by multi\u2010canal involvement. However, MDassociated BPPV most commonly involved the lateral canal. The mean durations of treatment for i\u2010BPPV and s\u2010BPPV were 2.28 and 4.87\u00a0days, respectively. The mean duration of treatment was 6.28\u00a0days for ISSHL with BPPV, 5.07\u00a0days for BPPV with unilateral vestibulopathy, and 2.28\u00a0days for BPPV with MD.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>The mean duration of treatment for BPPV with ISSHL or unilateral vestibulopathy was longer than for other groups. The different pathophysiologies of s\u2010BPPV associated with different inner ear diseases may explain its diverse clinical features and courses.<\/jats:p><jats:p>\u00a9 2010 American Academy of Otolaryngology\u2010Head and Neck Surgery Foundation. All rights reserved.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2010.06.905","type":"journal-article","created":{"date-parts":[[2010,8,18]],"date-time":"2010-08-18T06:28:35Z","timestamp":1282112915000},"page":"413-417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":78,"title":["Benign paroxysmal positional vertigo secondary to inner ear disease"],"prefix":"10.1002","volume":"143","author":[{"given":"No\u2010Hee","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Hongik Medical Center Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae\u2010Ho","family":"Ban","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul 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