Objective To report outcomes of treatment of residual symptoms residual symptoms by mastoid oscil-lation with bone vibrator in patients with benign paroxysmal positional vertigo(BPPV)after successful manual reduc-tion.Methods Patients with idiopathic BPPV and residual symptoms were prospectively selected(n=93)from May to December 2022 in the outpatient clinic,Department of Audiology,Guizhou Provincial People's Hospital,and were ran-domly divided into a treatment group(n=47)and a control group(n=46).The treatment group was subjected to mastoid oscillation with bone vibrators in addition to reduction.At one-week follow-up,residual symptoms were assessed using the Dizziness Handicap Inventory(DHI)and Vestibular Symptom Index(VSI).Results Prior to reduction,DHI and VSI scores were not significantly different between the control and treatment groups(P>0.05),while the total DHI score(DHI-T),P score(DHI-P),E score(DHI-E),F score(DHI-F)and VSI score in both groups improved following reduc-tion(P<0.05),and more so in the treatment group than in the control group(P<0.05).Conclusion Mastoid oscillation with bone vibrator following successful reduction can further improve residual symptoms outcomes,alleviate patients'fear while improving quality of life.