Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial
Objectives. The aim of this study was to determine the most effective treatment approach by comparing the impacts of various otolith reduction techniques in patients with apogeotropic lateral semicircular canal benign paroxysmal positional vertigo (LC-BPPV). Methods. We performed a multicenter rando...
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2023-08-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-2023-00619.pdf |
| _version_ | 1797733124362207232 |
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| author | Hyun Jin Lee Eun-Ju Jeon Sungil Nam Seog-Kyun Mun Shin-Young Yoo Seong Hyun Bu Jin Woong Choi Jae Ho Chung Seok Min Hong Seung-Hwan Lee Min-Beom Kim Ja-Won Koo Hyun Ji Kim Jae-Hyun Seo Seong-Ki Ahn Shi Nae Park Minbum Kim Won-Ho Chung |
| author_facet | Hyun Jin Lee Eun-Ju Jeon Sungil Nam Seog-Kyun Mun Shin-Young Yoo Seong Hyun Bu Jin Woong Choi Jae Ho Chung Seok Min Hong Seung-Hwan Lee Min-Beom Kim Ja-Won Koo Hyun Ji Kim Jae-Hyun Seo Seong-Ki Ahn Shi Nae Park Minbum Kim Won-Ho Chung |
| author_sort | Hyun Jin Lee |
| collection | DOAJ |
| description | Objectives. The aim of this study was to determine the most effective treatment approach by comparing the impacts of various otolith reduction techniques in patients with apogeotropic lateral semicircular canal benign paroxysmal positional vertigo (LC-BPPV). Methods. We performed a multicenter randomized prospective study from January to December 2015, involving 72 consecutive patients with apogeotropic LC-BPPV. The patients were divided into three treatment groups: therapeutic head-shaking (group A), the Gufoni-Appiani maneuver (group B), and the cupulolith repositioning maneuver (CuRM; group C). Each group underwent evaluation and treatment up to the fourth week. Treatment success was defined as the disappearance of positional vertigo and nystagmus. Results. This study included 72 patients (49 male and 23 female), with a mean (±standard deviation) age of 55.4±13.5 years. The mean duration of vertigo experienced prior to treatment was 3.9±4.4 days. The mean latency and duration of nystagmus were 2.7±3.0 seconds and 47.9±15.8 seconds, respectively. The overall treatment frequency was 2.0±0.9. The number of treatments differed significantly among the three groups (P<0.05). After 4 weeks, the success rates for groups A, B, and C were 90.5%, 92.3%, and 100%, respectively. No significant difference was observed in the success rate across treatment methods and periods (P>0.05). However, CuRM was the only method with a 100% treatment success rate. Conclusion. While no clear difference was observed among the three treatments for LC-BPPV, CuRM was found to be superior to the other approaches in the long term. |
| first_indexed | 2024-03-12T12:23:36Z |
| format | Article |
| id | doaj.art-54a0b2d76a8541d18e2eb8c763bd36c8 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-03-12T12:23:36Z |
| publishDate | 2023-08-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-54a0b2d76a8541d18e2eb8c763bd36c82023-08-30T04:39:42ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202023-08-0116325125810.21053/ceo.2023.00619871Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled TrialHyun Jin Lee0Eun-Ju Jeon1Sungil Nam2Seog-Kyun Mun3Shin-Young Yoo4Seong Hyun Bu5Jin Woong Choi6Jae Ho Chung7Seok Min Hong8Seung-Hwan Lee9Min-Beom Kim10Ja-Won Koo11Hyun Ji Kim12Jae-Hyun Seo13Seong-Ki Ahn14Shi Nae Park15Minbum Kim16Won-Ho Chung17 Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Otorhinolaryngology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea Myoung-dong Yonsei Ear Clinic, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Korea Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine, Incheon, Korea Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Otorhinolaryngology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Catholic Kwandong University College of Medicine, Gangneung, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, KoreaObjectives. The aim of this study was to determine the most effective treatment approach by comparing the impacts of various otolith reduction techniques in patients with apogeotropic lateral semicircular canal benign paroxysmal positional vertigo (LC-BPPV). Methods. We performed a multicenter randomized prospective study from January to December 2015, involving 72 consecutive patients with apogeotropic LC-BPPV. The patients were divided into three treatment groups: therapeutic head-shaking (group A), the Gufoni-Appiani maneuver (group B), and the cupulolith repositioning maneuver (CuRM; group C). Each group underwent evaluation and treatment up to the fourth week. Treatment success was defined as the disappearance of positional vertigo and nystagmus. Results. This study included 72 patients (49 male and 23 female), with a mean (±standard deviation) age of 55.4±13.5 years. The mean duration of vertigo experienced prior to treatment was 3.9±4.4 days. The mean latency and duration of nystagmus were 2.7±3.0 seconds and 47.9±15.8 seconds, respectively. The overall treatment frequency was 2.0±0.9. The number of treatments differed significantly among the three groups (P<0.05). After 4 weeks, the success rates for groups A, B, and C were 90.5%, 92.3%, and 100%, respectively. No significant difference was observed in the success rate across treatment methods and periods (P>0.05). However, CuRM was the only method with a 100% treatment success rate. Conclusion. While no clear difference was observed among the three treatments for LC-BPPV, CuRM was found to be superior to the other approaches in the long term.http://www.e-ceo.org/upload/pdf/ceo-2023-00619.pdflateral semicircular canal benign paroxysmal positional vertigocupulolith repositioning maneuvergufoni-appiani maneuvertherapeutic head-shaking |
| spellingShingle | Hyun Jin Lee Eun-Ju Jeon Sungil Nam Seog-Kyun Mun Shin-Young Yoo Seong Hyun Bu Jin Woong Choi Jae Ho Chung Seok Min Hong Seung-Hwan Lee Min-Beom Kim Ja-Won Koo Hyun Ji Kim Jae-Hyun Seo Seong-Ki Ahn Shi Nae Park Minbum Kim Won-Ho Chung Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial Clinical and Experimental Otorhinolaryngology lateral semicircular canal benign paroxysmal positional vertigo cupulolith repositioning maneuver gufoni-appiani maneuver therapeutic head-shaking |
| title | Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial |
| title_full | Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial |
| title_fullStr | Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial |
| title_full_unstemmed | Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial |
| title_short | Treatment Efficacy of Various Maneuvers for Lateral Canal Benign Paroxysmal Positional Vertigo With Apogeotropic Nystagmus: A Randomized Controlled Trial |
| title_sort | treatment efficacy of various maneuvers for lateral canal benign paroxysmal positional vertigo with apogeotropic nystagmus a randomized controlled trial |
| topic | lateral semicircular canal benign paroxysmal positional vertigo cupulolith repositioning maneuver gufoni-appiani maneuver therapeutic head-shaking |
| url | http://www.e-ceo.org/upload/pdf/ceo-2023-00619.pdf |
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