Multicenter Study on the Clinician's Diagnostic and Therapeutic Approaches for Benign Paroxysmal Positional Vertigo in Korea

Eun Ju Jeon; Won Ho Chung; Jeong Hwan Choi; Eui Cheol Nam; Hong Ju Park; Jong Dae Lee; Won Sang Lee; Kyu Sung Kim; Eui Kyung Goh; Ja Won Koo; Min Bum Kim; Min Beom Kim; Se Hyung Kim; Young Jin Kim; Chang Hee Kim; Sung Il Nam; Seog Kyun Mun; Ga Young Park; Sang Yoo Park; Shi Nae Park; Chang Hoon Bae; Sung Hyun Boo; Myung Whan Suh; Jae Hyun Seo; Eun Jin Son; Jae Jun Song; Jae Jin Song; Joong Wook Shin; Dae Bo Shim; Seong Ki Ahn; Hye Youn Youm; Shin Young Yoo; Dong Hee Lee; Seung Hwan Lee; Chang Ho Lee; Hyun Seok Lee; Hwan Ho Lee; Hyo Jeong Lee; Yun Hoon Choung; Seung Hyo Choi; Jee Sun Choi; Seok Min Hong; Sung Kwang Hong

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Multicenter Study on the Clinician's Diagnostic and Therapeutic Approaches for Benign Paroxysmal Positional Vertigo in Korea

Author: Eun Ju JEON ¹ ; Won Ho CHUNG ; Jeong Hwan CHOI ; Eui Cheol NAM ; Hong Ju PARK ; Jong Dae LEE ; Won Sang LEE ; Kyu Sung KIM ; Eui Kyung GOH ; Ja Won KOO ; Min Bum KIM ; Min Beom KIM ; Se Hyung KIM ; Young Jin KIM ; Chang Hee KIM ; Sung Il NAM ; Seog Kyun MUN ; Ga Young PARK ; Sang Yoo PARK ; Shi Nae PARK ; Chang Hoon BAE ; Sung Hyun BOO ; Myung Whan SUH ; Jae Hyun SEO ; Eun Jin SON ; Jae Jun SONG ; Jae Jin SONG ; Joong Wook SHIN ; Dae Bo SHIM ; Seong Ki AHN ; Hye Youn YOUM ; Shin Young YOO ; Dong Hee LEE ; Seung Hwan LEE ; Chang Ho LEE ; Hyun Seok LEE ; Hwan Ho LEE ; Hyo Jeong LEE ; Yun Hoon CHOUNG ; Seung Hyo CHOI ; Jee Sun CHOI ; Seok Min HONG ; Sung Kwang HONG
Author Information

1. Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Incheon, Korea.
Publication Type:Multicenter Study
Keywords: Vertigo; Benign paroxysmal positional; Diagnosis; Treatment
MeSH: Surveys and Questionnaires; Delivery of Health Care; Dizziness; Electronic Mail; Korea; Otolaryngology; Otolithic Membrane; Public Opinion; Vertigo
From:Journal of the Korean Balance Society 2013;12(3):79-92
CountryRepublic of Korea
Language:Korean
Abstract: BACKGROUND AND OBJECTIVES: It is necessary to establish the most efficient diagnostic and therapeutic method for benign paroxysmal positional vertigo (BPPV), which is appropriate for Korean healthcare system. We aimed to evaluate current state of Korean clinician's diagnostic and therapeutic approaches for BPPV. MATERIALS AND METHODS: A 16-item survey was emailed to the members of dizziness department of Otology Research Interest Group in the Korean Otologic Society (n=68). 43 were returned and analyzed. RESULTS: All respondents (100%) used Dix-Hallpike test as a diagnostic tool for vertical canal-BPPV. Supine roll test was used for diagnosing lateral canal BPPV in nearly all the respondents (97.7%). Epley maneuver was chosen as otolith repositioning maneuver (ORM) for posterior canal BPPV in all respondents and barbecue rotation (BBQ) was used for treating lateral canal BPPV with geotropic nystagmus in 95.3% of respondents. Extreme variation was noted for therapeutic approach of lateral canal BPPV with ageotropic nystagmus BBQ, with 4 kinds of ORM and adjunctive measures to liberate otolith from cupula, while BBQ was again the most commonly used ORM (76.7%). CONCLUSION: The development of practical and efficient ORM for lateral canal BPPV with ageotropic nystagmus is necessary.