Effects the Epley Maneuver on the Symptoms and Quality of Life Levels in Posterior Canal Benign Paroxysmal Positional Vertigo: Two Antalya District Hospitals Experience

Yıl 2020, Cilt: 10 Sayı: 3, 424 - 429, 30.12.2020

Murat Kar Mustafa Altıntaş

https://doi.org/10.32448/entupdates.839113

Öz

Objective: In this study, we aimed to investigate the effectiveness of the Epley maneuver performed without
any additional medical treatment on symptoms and quality of life in patients diagnosed with canalithiasis type posterior canal BPPV with the Dix- Hallpike (DH) test in two District Hospitals of Antalya -Turkey.
Methods: A total of 55 patients who were admitted to the ENT Departments Kumluca and Serik State Hospitals, Antalya between November 2019 and June 2020 with complaining of positional vertigo who were diagnosed as posterior canal BPPV with the Dix Hallpike (DH) test was included in this study.
Results: Fifty-five cases with dizziness and vertigo complaints enrolled in our study. Thirty-four of the patients
were male (%43.6), and 21 cases were female (%56.4). The ages of the patients were between 32 and 81with
an average of 52.4±13.3 years. Statistically significant improvement was obtained at Vertigo Symptom Scale,
Vertigo Dizziness Imbalance Symptom Scale, and Vertigo, Dizziness Imbalance health-related quality of life scale after the application of Epley maneuver
Conclusion: In our study, Epley maneuver efficacy without any additional medical treatment was found to be very high in BPPV patients. As a result of this study, we wanted to emphasize that medical treatment to every patient presenting with dizziness and vertigo complaints is not a correct approach.

Anahtar Kelimeler

Epley maneuver, BPPV, vertigo, dizziness

Kaynakça

• References: 1. Nguyen CT, Basso M.: Epley Maneuver. 2020 Oct 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 33085434.
• 2. Muncie HL, Sirmans SM, James E. Dizziness: Approach to Evaluation and Management. Am Fam Physician. 2017 Feb 1;95(3):154-162. PMID: 28145669.
• 3. Guneri EA, Kustutan O. The effects of betahistine in addition to epley maneuver in posterior canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2012 Jan;146(1):104-8. doi: 10.1177/0194599811419093. Epub 2011 Aug 18. PMID: 21852389.
• 4. Gaur S, Awasthi SK, Bhadouriya SK, Saxena R, Pathak VK, Bisht M. Efficacy of Epley's Maneuver in Treating BPPV Patients: A Prospective Observational Study. Int J Otolaryngol. 2015;2015:487160. doi: 10.1155/2015/487160. Epub 2015 Oct 1. PMID: 26495002; PMCID: PMC4606415.
• 5. Domínguez-Durán E, Domènech-Vadillo E, Álvarez-Morujo de Sande MG, González-Aguado R, Guerra-Jiménez G, Ramos-Macías Á, Morales-Angulo C, Martín-Mateos AJ, Figuerola-Massana E, Galera-Ruiz H. Analysis of risk factors influencing the outcome of the Epley maneuver. Eur Arch Otorhinolaryngol. 2017 Oct;274(10):3567-3576. doi: 10.1007/s00405-017-4674-9. Epub 2017 Jul 19. PMID: 28725982.
• 6. Yanik B, Külcü DG, Kurtais Y, Boynukalin S, Kurtarah H, Gökmen D. The reliability and validity of the Vertigo Symptom Scale and the Vertigo Dizziness Imbalance Questionnaires in a Turkish patient population with benign paroxysmal positional vertigo. J Vestib Res. 2008;18(2-3):159-70. PMID: 19126986.
• 7. Uz U, Uz D, Akdal G, Çelik O. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol. 2019 Dec;15(3):420-424. doi: 10.5152/iao.2019.6483. PMID: 31846923; PMCID: PMC6937179.
• 8. Lou Y, Xu L, Wang Y, Zhao Z, Liu X, Li Y. Orthotropic nystagmus in predicting the efficacy of treatment in posterior canal benign paroxysmal positional vertigo. Am J Otolaryngol. 2020 Jul-Aug;41(4):102472. doi: 10.1016/j.amjoto.2020.102472. Epub 2020 Apr 1. PMID: 32276733.
• 9. Cavaliere M, Mottola G, Iemma M. Benign paroxysmal positional vertigo: a study of two manoeuvres with and without betahistine. Acta Otorhinolaryngol Ital. 2005 Apr;25(2):107-12. PMID: 16116833; PMCID: PMC2639876.
• 10. Sachdeva K, Sao T. The Clinical Response Time of Epley Maneuvers for Treatment of BPPV: A Hospital Based Study. Indian J Otolaryngol Head Neck Surg. 2020 Dec;72(4):503-507. doi: 10.1007/s12070-020-02038-x. Epub 2020 Aug 11. PMID: 33088782; PMCID: PMC7544774.