The Journal of International
Advanced Otology

Frailty of the Vestibular System in the Super-Aging Society


Department of Otolaryngology-Head and Neck Surgery, Nara Medical University, Kashihara, Japan


Medicine Based Town Research Center, Nara Medical University, Kashihara, Japan

J Int Adv Otol 2024; 20: 76-80
DOI: 10.5152/iao.2024.231181
Read: 81 Downloads: 39 Published: 01 February 2024

Vestibular frailty and presbyvestibulopathy, including benign paroxysmal positional vertigo (BPPV), can cause dizziness among elderly patients. Vestibular frailty and presbyvestibulopathy may contribute to the onset of the vicious circle of falling–bone fracture–prolonged bedridden status–senile dementia. Treatment interventions for vestibular frailty and presbyvestibulopathy should be based on vestibular rehabilitation rather than vestibular implantation or regeneration. In acute BPPV, the otolith repositioning maneuver can be used to return otolithic debris to the utricle. At the chronic remission stage, there are nutritional guidelines for improving bone density in otolith organs and rehabilitation guidelines for activating otolith organs to prevent exfoliation. Moreover, sleeping in the head-up position can prevent free-floating debris from entering the semicircular canal. Throughout their old age, the psychiatric care/support is also indispensable to keep their initiative against vestibular frailty.

Cite this article as: Kitahara T, Shiozaki T, Hosoi H. Frailty of the vestibular system in the super-aging society. J Int Adv Otol. 2024;20(1):76-80.

EISSN 2148-3817