Effectiveness of Epley’s Repositioning Maneuver in the Treatment of Benign Paroxysmal Positional Vertigo

Document Type : Original Article

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Department of Otorhinolaryngology, Al-Hussein University Hospital, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Introduction: Benign paroxysmal positional vertigo (BPPV) originating from the posterior semicircular canal is a common vestibular disorder that can be diagnosed and treated in outpatient clinic.
Objectives: The aim of this study is to assess the effectiveness of Epley’s maneuver in management of patients with BPPV of the posterior semicircular canal.
Patients and Methods: This is a retrospective study of total of thirty patients with a diagnosis of BPPV of posterior semicircular canal. These patients were between the age of 20 and 60 years. This study was performed in the Audio-Vestibular Unit, Otorhinolaryngology department, Al-Hussein University Hospital between September 2018 and June 2019. Patients were examined by Dix-Halpike test then treated by Epley’s maneuver.
Results: BPPV of the posterior canal was more common after the age of 40 years old and more common in females than males by a ratio of 3.3:1, with two types: unilateral (90%) and bilateral (10%). The left ear was more common than the right ear by a ratio of 1.46:1. The success rate of Epley’s maneuver was 90%.
Conclusion: In our experience, Epley’s maneuver was successful in 90% of cases who presented with posterior canal BPPV. This tallies with the world literature in terms of the success rate.

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