Kanalit repozisyon manevralarının benign paroksismal pozisyonel vertigo tedavisinde kullanımı

Öz

Amaç: Günümüzde acil servise başvuran hastaların toplam %2-3’ünü vertigo şikayeti oluşturmaktadır. Özellikle 60 yaş üzerinde sıklıkla görülen başdönmesi kişinin sosyal hayatını ve yaşayışını engellemekte; hatta yaşlı hastalarda düşmeye yol açarak hayati tehlikelere neden olabilmektedir. Çalışmamızda; en sık periferik başdönmesi nedeni olan benign paroksizmal pozisyonel vertigo tedavisinde kullanılan Epley manevrasının hastanın şikayetleri üzerine etkisini araştırdık.

Yöntem: Kulak burun boğaz hastalıkları ve acil servise başvuran ve periferik kökenli olduğu tahmin edilen 347 hasta araştırmamıza katıldı. Hastalara Epley manevrası yapılmasının ardından iyileşmeleri takip edildi.

Bulgular: Araştırmamıza katılan 347 hastanın; 201 kadın (%58); 146 erkek (%42), yaş ortalaması 51,23 olarak bulundu. Hastaların %54,46’sı posterior kanal; %34,87’si horizontal kanal; %6,34’ü anterior kanal; %4,32’si çoklu kanal tutulumu göstermektedir. Epley manevrası her hastaya yapılmış ve %94 başarı sağlanmıştır.

Sonuç: BPPV tedavisinde Epley repozisyon manevrası, basit, güvenli, hızlı ve etkinliği yüksek bir yöntemdir.

Anahtar Kelimeler

• Başdönmesi,bppv,epley,manevra,vertigo

The use of Canalith Reposition Maneuvers in Treatment of Benign Paroxysmal Positional Vertigo

Öz

Objective: Patients with vertigo compose 2-3% of total admissions to emergency department. Dizziness affects especially the patients above 60 years of age creating social life difficulties and causing, leads to dangerous and life-threatening situations. In this study, we tried to show the effect of Epley maneuver on the symptoms of benign paroxysmal positional vertigo (BPPV) which is the most common type of peripheric vertigo. Method: A total of 347 patients who attended to otolaryngology and emergency departments of Ufuk University and Private Medisun Hospital between 15.08.2018 and 15.02.2019 with peripheric vertigo complaints were included in the study. Each patient was applied Epley maneuver and followed. Results were analyzed with SPSS program (Statistical Package for Social Sciences). Results: Of all the patients, 201 (58%) were women, and 146 (42%) were men with a mean age of 51,2±3,1 years. Posterior semicircular canal pathology was found in 54.5%; horizontal canal in 34.9%; anterior canal in 6.3%; multiple canal in 4.3%. Epley maneuver was applied to all patients and succeeded in 94% of the patients. Conclusion: Vertigo is a common symptom that can cause serious effects on lifestyle. Searching the etiology can be challenging for both the physicians and the patients. The most common cause of peripheral vertigo is BPPV. Epley maneuver is a simple, safe, quick and effective method for treatment and the diagnosis of BPPV. In conclusion, using canalith reposition maneuvers firstly will decrease the recovery time and save patients from time loss.

Anahtar Kelimeler

• vertigo,epley maneuver,treatment

Kaynakça

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