3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV

Objective:Our primary objective was to develop a three-dimensional (3D) model of the vestibular labyrinth to understand the pathophysiological mechanisms of benign paroxysmal positional vertigo (BPPV) observed during common diagnostic positional tests. We secondarily aimed to monitor the effects of...

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Main Authors: Enis Alpin Güneri, Salim Hancı, Yüksel Olgun, Serpil Mungan Durankaya
Format: Article
Language:English
Published: Galenos Yayincilik 2022-06-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/3d-model-to-understand-the-diagnosis-and-treatment/52763
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author Enis Alpin Güneri
Salim Hancı
Yüksel Olgun
Serpil Mungan Durankaya
author_facet Enis Alpin Güneri
Salim Hancı
Yüksel Olgun
Serpil Mungan Durankaya
author_sort Enis Alpin Güneri
collection DOAJ
description Objective:Our primary objective was to develop a three-dimensional (3D) model of the vestibular labyrinth to understand the pathophysiological mechanisms of benign paroxysmal positional vertigo (BPPV) observed during common diagnostic positional tests. We secondarily aimed to monitor the effects of the repositioning maneuvers and use this tool in teaching.Methods:A 3D model of a human semicircular canals (SSCs) system was created by 3D printing the core and assembling it with silicone tubing filled with lubricant oil containing colored small stones in the lumen mimicking otoconia. We used the model in horizontal canal BPPV diagnostic tests and therapeutic maneuvers. The working mechanism of the model we designed was recorded with video.Results:The model allowed for a clear display of the anatomy and the respective orientations of the SSCs. Otolith movement in the horizontal canals could be imitated during diagnostic positional tests (Dix-Hallpike and Pagnini-McClure) and therapeutic maneuvers (Epley, Semont, Lempert and Gufoni).Conclusion:As well as helping to understand the anatomy and physiology of the SSCs, this simple 3D model also provides a teaching tool for the diagnosis and treatment of BPPV. The mechanism of horizontal canal canalithiasis and the effect of therapeutic repositioning maneuvers could be clearly observed by watching the markers in the lumen demonstrating the progress of otolith movements with changes in head position relative to gravity.
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spelling doaj.art-87f3626c06904d17a6f1b73309a279fe2023-02-15T16:11:19ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742022-06-0160210210410.4274/tao.2022.2021-10-11130490543D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPVEnis Alpin Güneri0Salim Hancı1Yüksel Olgun2Serpil Mungan Durankaya3 Department of Otorhinolaryngology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey Department of Otorhinolaryngology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey Department of Otorhinolaryngology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey Department of Audiometry Vocational School of Health Services, Dokuz Eylül University, İzmir, Turkey Objective:Our primary objective was to develop a three-dimensional (3D) model of the vestibular labyrinth to understand the pathophysiological mechanisms of benign paroxysmal positional vertigo (BPPV) observed during common diagnostic positional tests. We secondarily aimed to monitor the effects of the repositioning maneuvers and use this tool in teaching.Methods:A 3D model of a human semicircular canals (SSCs) system was created by 3D printing the core and assembling it with silicone tubing filled with lubricant oil containing colored small stones in the lumen mimicking otoconia. We used the model in horizontal canal BPPV diagnostic tests and therapeutic maneuvers. The working mechanism of the model we designed was recorded with video.Results:The model allowed for a clear display of the anatomy and the respective orientations of the SSCs. Otolith movement in the horizontal canals could be imitated during diagnostic positional tests (Dix-Hallpike and Pagnini-McClure) and therapeutic maneuvers (Epley, Semont, Lempert and Gufoni).Conclusion:As well as helping to understand the anatomy and physiology of the SSCs, this simple 3D model also provides a teaching tool for the diagnosis and treatment of BPPV. The mechanism of horizontal canal canalithiasis and the effect of therapeutic repositioning maneuvers could be clearly observed by watching the markers in the lumen demonstrating the progress of otolith movements with changes in head position relative to gravity. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/3d-model-to-understand-the-diagnosis-and-treatment/52763 benign paroxysmal positional vertigovestibular diseasesvestibular labyrinthotolithsthree-dimensional printinganatomic model
spellingShingle Enis Alpin Güneri
Salim Hancı
Yüksel Olgun
Serpil Mungan Durankaya
3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV
Turkish Archives of Otorhinolaryngology
benign paroxysmal positional vertigo
vestibular diseases
vestibular labyrinth
otoliths
three-dimensional printing
anatomic model
title 3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV
title_full 3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV
title_fullStr 3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV
title_full_unstemmed 3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV
title_short 3D Model to Understand the Diagnosis and Treatment of Horizontal Canal BPPV
title_sort 3d model to understand the diagnosis and treatment of horizontal canal bppv
topic benign paroxysmal positional vertigo
vestibular diseases
vestibular labyrinth
otoliths
three-dimensional printing
anatomic model
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/3d-model-to-understand-the-diagnosis-and-treatment/52763
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AT salimhancı 3dmodeltounderstandthediagnosisandtreatmentofhorizontalcanalbppv
AT yukselolgun 3dmodeltounderstandthediagnosisandtreatmentofhorizontalcanalbppv
AT serpilmungandurankaya 3dmodeltounderstandthediagnosisandtreatmentofhorizontalcanalbppv