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Effectiveness of Brandt Daroff, Semont and Epley maneuvers in the treatment of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The aim was to compare the effectiveness of Brandt-Daroff, Semont and Epley maneuver in BPPV resolution. A Single Blind RCT in a Secondary Care Center was performed. Inclusion criteria were: patients with unilateral rotatory nystagmus on Dix-Hallpike Maneuver (DHM). Exclusion criteria: other causes of peripheral or central vertigo. Patients were randomized into 4 groups: Brandt-Daroff, “sham”, Semont and Epley. Patients underwent allocation, 1st visit (at 1 week with reprise of original maneuver if persistent nystagmus) and 2nd visit (2 to 4 weeks) with repetitions of both DHM and DHI. Main Outcome Measures: Absence of nystagmus on DHM at 1st and 2nd visit evaluations and DHI score. Resolution was defined as the abscence of nystagmus. We included 34 patients (25 females, 9 males). Patients were randomized to Brandt-Daroff (n = 9), “sham” (n = 7), Semont (n = 9) and Epley (n = 9) group. Overall mean age was 59.85 years (SD ± 13.10). A total of 47.06% patients (n = 16) had negative DHM at 1st visit. Resolution for Brandt-Daroff was 22.22%, “sham” 28.57%, Semont 44.44% and Epley 88.88% (p = 0.024); at 2nd visit follow up, Epley achieved 100% resolution (other maneuvers: 42.86%, 16.67%, 44.44%, respectively. P = 0.006). The DHI improvement at 2nd visit for Brandt-Daroff was 21.17 points, “sham” 8.05, Semont 14.67 and Epley 61.78 (p = 0.001). Epley maneuver was superior to Brandt Daroff, “sham” and Semont maneuvers on nystagmus resolution and DHI improvement in patients with BPPV.

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SPSS was used.

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Acknowledgements

We would like to thank the department of Otolaryngology of CIDOCS and Autonomous University of Sinaloa.

Funding

Part of this study’s data was a poster presentation at the American Academy of Otolaryngology, 2015.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, Center of Research and Teaching in the Health Sciences (CIDOCS), Civil Hospital of Culiacan, Autonomous University of Sinaloa, Eustaquio Buelna #91, 80030, Culiacan, Sinaloa, Mexico

    Erika Celis-Aguilar

  2. Center of Research and Teaching in the Health Sciences (CIDOCS), Civil Hospital of Culiacan, Autonomous University of Sinaloa, 80030, Culiacan, Mexico

    Homero Oswaldo Mayoral-Flores, Luis Alejandro Torrontegui-Zazueta, Cindy Anahí Medina-Cabrera & Ivonne Carolina León-Leyva

  3. Department of Statistics, Center of Research and Teaching in the Health Sciences (CIDOCS), Civil Hospital of Culiacan, Autonomous University of Sinaloa, 80030, Culiacan, Mexico

    Edgar Dehesa-López

Authors
  1. Erika Celis-Aguilar
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  2. Homero Oswaldo Mayoral-Flores
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  6. Edgar Dehesa-López
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All authors contributed to the manuscript and are accountable of all aspects of the manuscript.

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Correspondence to Erika Celis-Aguilar.

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Research and ethical approval was obtained in CIDOCS, number 0126.

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Celis-Aguilar, E., Mayoral-Flores, H.O., Torrontegui-Zazueta, L.A. et al. Effectiveness of Brandt Daroff, Semont and Epley maneuvers in the treatment of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial. Indian J Otolaryngol Head Neck Surg 74, 314–321 (2022). https://doi.org/10.1007/s12070-021-02516-w

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