ISSN 1308-7649 | E-ISSN 2148-3817
Original Article
Two-hour follow-up is equivalent to one-day follow-up of posterior canal benign paroxysmal positional vertigo
1 Department of Otolaryngology, Haseki Training and Research Hospital, Istanbul, Turkey  
J Int Adv Otol ; : -
DOI: 10.5152/iao.2018.5328
Key Words: Benign paroxysmal positional vertigo, epley maneuver, canal repositioning procedure, follow-up, short term
Abstract

 

Objectives:To evaluate short-term outcome for posterior canal benign paroxysmal positional vertigo(p-BPPV) after modified Epley’s maneuver(mEM).

Materials and Methods:Patients who were diagnosed with p-BPPV between September 2017 and January 2018 in a tertiary care center were included. Patients were treated with mEM. Five follow-up points were set at one hour, two hours, one day, three days and one week. If Dix-Hallpike test(DH) was positive, mEM was performed and patient was called for the next follow-up point. If negative, the patient was accepted as completely resolved and called for follow-up at one week. The proportion of completely resolved patients at each follow-up point, recurrence, lateral canal conversion rate and time were noted. A retrospective control group was created from patients treated for p-BPPV between April and August 2017. The outcome of the study and control groups were compared.

Results:There were 93 patients in study group. 63 (67.7%), 8(8.6%), 3(3.2%), 0(0%) and 9(9.7%) patients completely resolved at one-hour, two-hour, one-day, three-days and one-week follow-ups. 1.96±1.60(1-5) mEMs were performed. Control group included 61 patients. At one-week follow-up a total of 83(89.2%) patients in study group and 48(78.7%) in control group were completely resolved(p=0.1043). In study group 5(5.37%) of patients had lateral canal conversion within one day. 2(2.15%) had recurrence one day later after two-hour follow-up. The number of patients completely resolved at two-hour follow-up and before(76.34%) compared to the patients completely resolved at one-day follow-up and before(79.56%) were not significantly different (p=0.7235). 

Two-hour follow-up is equivalent to one-day follow-up of p-BPPV in terms of therapy outcome and adverse affects.

Cite this article as: Alimoğlu Y, Altın F, Açıkalın RM. Two-hour follow-up is equivalent to one-day follow-up of posterior canal benign paroxysmal positional vertigo. J Int Adv Otol 2018. DOI: 10.5152/iao.2018.5328

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