Effects the Epley Maneuver on the Symptoms and Quality of Life Levels in Posterior Canal Benign Paroxysmal Positional Vertigo: Two Antalya District Hospitals Experience

Objective: In this study, we aimed to investigate the effectiveness of the Epley maneuver performed withoutany additional medical treatment on symptoms and quality of life in patients diagnosed with canalithiasis typeposterior canal BPPV with the Dix- Hallpike (DH) test intwo District Hospitals of Antalya -Turkey.Methods: A total of 55 patients who were admitted tothe ENT Departments Kumluca and Serik State Hospitals,Antalya between November 2019 and June 2020 withcomplaining of positional vertigo who were diagnosedas posterior canal BPPV with the Dix Hallpike (DH) testwas included in this study.Results: Fifty-five cases with dizziness and vertigo complaints enrolled in our study. Thirty-four of the patientswere male (%43.6), and 21 cases were female (%56.4).The ages of the patients were between 32 and 81withan average of 52.4±13.3 years. Statistically significantimprovement was obtained at Vertigo Symptom Scale,Vertigo Dizziness Imbalance Symptom Scale, and Vertigo,Dizziness Imbalance health-related quality of life scaleafter the application of Epley maneuverConclusion: In our study, Epley maneuver efficacy without any additional medical treatment was found to bevery high in BPPV patients. As a result of this study, wewanted to emphasize that medical treatment to everypatient presenting with dizziness and vertigo complaintsis not a correct approach.

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4. Gaur S, Awasthi SK, Bhadouriya SK, Saxena R, Pathak VK, Bisht M. Efficacy of Epley’s Maneuver in Treating BPPV Patients: A Prospective Observational Study. Int J Otolaryngol. 2015;2015:487160. doi: 10.1155/2015/487160. Epub 2015 Oct 1. PMID: 26495002; PMCID: PMC4606415.

5. Domínguez-Durán E, Domènech-Vadillo E, Álvarez-Morujo de Sande MG, González-Aguado R, Guerra-Jiménez G, Ramos-Macías Á, Morales-Angulo C, Martín-Mateos AJ, Figuerola-Massana E, Galera-Ruiz H. Analysis of risk factors influencing the outcome of the Epley maneuver. Eur Arch Otorhinolaryngol. 2017 Oct;274(10):3567-3576. doi: 10.1007/ s00405-017-4674-9. Epub 2017 Jul 19. PMID: 28725982.

6. Yanik B, Külcü DG, Kurtais Y, Boynukalin S, Kurtarah H, Gökmen D. The reliability and validity of the Vertigo Symptom Scale and the Vertigo Dizziness Imbalance Questionnaires in a Turkish patient population with benign paroxysmal positional vertigo. J Vestib Res. 2008;18(2-3):159-70. PMID: 19126986.

7. Uz U, Uz D, Akdal G, Çelik O. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol. 2019 Dec;15(3):420-424. doi: 10.5152/iao.2019.6483. PMID: 31846923; PMCID: PMC6937179.

8. Lou Y, Xu L, Wang Y, Zhao Z, Liu X, Li Y. Orthotropic nystagmus in predicting the efficacy of treatment in posterior canal benign paroxysmal positional vertigo. Am J Otolaryngol. 2020 Jul-Aug;41(4):102472. doi: 10.1016/j.amjoto.2020.102472. Epub 2020 Apr 1. PMID: 32276733.

9. Cavaliere M, Mottola G, Iemma M. Benign paroxysmal positional vertigo: a study of two manoeuvres with and without betahistine. Acta Otorhinolaryngol Ital. 2005 Apr;25(2):107-12. PMID: 16116833; PMCID: PMC2639876.

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ENT Updates-Cover
  • ISSN: 2149-7109
  • Başlangıç: 2015
  • Yayıncı: Prof.Dr.Murat Demir
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