Results of otolith reposition therapy in posterior semicircular canal BPPV.
- Author:
Sung Hun KIM
1
;
Ju Hyoung LEE
;
Mi Ran BAE
;
Chang Woo KIM
;
Soo Young LEE
;
Won Sang LEE
Author Information
1. Department of Otorhinolaryngology Yonsei University College of Medicine, Seoul, Korea. wsleemd@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
vertigo;
reposition maneuver
- MeSH:
Follow-Up Studies;
Humans;
Otolithic Membrane*;
Recurrence;
Semicircular Canals*;
Vertigo
- From:Journal of the Korean Balance Society
2003;2(1):107-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Benign paroxysmal positional vertigo (BPPV) has been well controlled with otolith reposition therapy. Posterior canal is known as the most common site of BPPV. The purpose of this study was to study the therapeutic result of reposition therapy in posterior canal BPPV, to investigate the unusual cases such as recurred cases and type changed cases during the reposition maneuver, and to figure out the therapeutic strategy. MATERIALS AND METHODS: One hundred and ten patients diagnosed posterior canal BPPV were included in this study. Epley maneuver was performed once a day until nystagmus disappeared. We analyzed the number of treatment, changing type, recurrence and the relationship between recurrence and age or sex of patients. RESULT: All cases except 2 were recovered by Epley maneuver. In 11 cases, the type of disease was changed, and the treatment of these cases were changed according to new type and origin. Overall recurrence rate was 15%, and they were completely treated with reposition therapy. There was no correlation between recurrence and age, sex of patients. CONCLUSION: All most cases were cured with Epley maneuver. The type of the disease was possibly changeable. Recurrence rate was relative high, and close follow up was required.
