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A novel seated repositioning maneuver for geotropic lateral canal BPPV: efficacy and technique.
Scarpa, Alfonso; Avallone, Emilio; De Luca, Pietro; Cassandro, Claudia; Viola, Pasquale; Salzano, Giovanni; Gioacchini, Federico Maria; Salzano, Francesco Antonio.
Afiliación
  • Scarpa A; Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy. ascarpa@unisa.it.
  • Avallone E; Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Medizinische Hochschule Hannover, Hannover, Germany.
  • De Luca P; Otolaryngology Department, Isola Tiberina, Gemelli Isola Hospital, Rome, Italy.
  • Cassandro C; Department of Surgical Sciences, University of Turin, Turin, Italy.
  • Viola P; Department of Experimental and Clinical Medicine, Unit of Audiology, Regional Centre for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy.
  • Salzano G; Maxillofacial Surgery Unit, University Hospital of Naples "Federico II", Naples, Italy.
  • Gioacchini FM; ENT Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy.
  • Salzano FA; Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Eur Arch Otorhinolaryngol ; 2024 Jul 08.
Article en En | MEDLINE | ID: mdl-38977485
ABSTRACT

PURPOSE:

This study introduces and evaluates the sitting lateral canal maneuver (SLCM), a novel seated repositioning technique for treating geotropic lateral canal benign paroxysmal positional vertigo (BPPV).

METHODS:

We conducted a retrospective chart review at the Hospital of Salerno, focusing on 26 patients diagnosed with geotropic LC-BPPV between 2021 and 2022. The SLCM was applied, and its efficacy was assessed based on the resolution of nystagmus and vertigo symptoms. A 95% confidence interval was calculated to estimate the success rate.

RESULTS:

The SLCM demonstrated a high success rate, with 22 out of 26 patients (approximately 85%, 22/26 patients) showing positive outcomes. The 95% confidence interval for the success rate ranged from approximately 65.02-100%. These findings suggest that SLCM is a potentially effective intervention for LC-BPPV, especially beneficial for patients who find traditional supine or lateral maneuvers uncomfortable.

CONCLUSION:

The SLCM represents a promising alternative to traditional BPPV maneuvers, especially for patients requiring a seated approach. While the initial results are encouraging, further research with larger sample sizes and longer follow-up periods is needed to validate its efficacy and explore its full potential in the management of LC-BPPV. LEVEL OF EVIDENCE This study represents a Level IV source of evidence, as defined by the evidence-based practice guidelines. It is a retrospective chart review that involves a moderate cohort of patients diagnosed with geotropic horizontal positional nystagmus consistent with lateral canal benign paroxysmal positional vertigo (LC-BPPV). While the study provides valuable insights into the efficacy of the sitting lateral canal maneuver (SLCM) and contributes to the existing literature on BPPV management, it is important to note the inherent limitations associated with this level of evidence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur Arch Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur Arch Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania