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A Study of Quality of Life Improvement in Videonystagmography Guided Epley’s Manoeuvre in Posterior Canal Benign Paroxysmal Positional Vertigo

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Abstract

To assess Quality of life improvement in Videonystagmography guided Epley’s Manoeuvre in posterior canal benign paroxysmal positional vertigo. The design of present study is cross-sectional analytical study. The study is conducted in the Department of Otorhinolaryngology, Sri Aurobindo Medical College and Post Graduate Institute, Indore in association with Sri Aurobindo Institute of speech and hearing, Indore. Current study done to assess the effectiveness of canalolith repositioning procedures (Epley’s maneuver) with and without drug therapy in posterior canal benign paroxsymal positional vertigo and to assess the patients based on Dizziness Handicap Inventory. All Patients who come to ENT OPD at Sri Aurobindo Medical College and Post Graduate Institute, Indore in the specified duration and according to the inclusion criteria were chosen in the study. Majority of the patients were in the age group of 18–58 years with the median age of 32 and subjective symptomatic relief on Epley’s manoeuvre and DHI on day 15, 46 out of 60 subjects reported symptomatic relief with a percentage of 76.6%. This group of 46 subjects with symptomatic relief was labeled as resolved group. The age range in resolved group was between 18 and 58 years. Remaining 14 subjects, labelled as relapsed group were prescribed beta-histine and repeat Epley’s maneuver was performed to assess the effectiveness of adjunct therapy. We conclude that a single Videonystagmography guided Epley’s maneuver is an excellent tool for effective rehabilitation of majority of posterior canal BPPV alone and combined with adjunct betahistine therapy can even cure refractory cases providing them with better quality of life.

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Data Availability

The datasets during and/or analysed during the current study available from the corresponding author on reasonable request.

References

  1. Barany R (1921) Diagnose von krankheitserscheinungen im bereiche des otolithenapparates. Acta Otolaryngol 2:434–437

    Article  Google Scholar 

  2. Epley JM (2001) Human experience with canalith repositioning maneuvers. Ann NY Acad Sci 942:179–191

    Article  CAS  PubMed  Google Scholar 

  3. Dix MR, Hallpike CS (1952) The pathology symptomatology and diagnosis of certain common disorders of the vestibularsystem. Proc R Soc Med 45:341–354

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Balatsouras DG, Koukoutsis G, Ganelis P, Korres GS, Kaberos A (2011) Diagnosis of single- or multiple-canal benign paroxysmal positional vertigo according to the type of nystagmus. Int J Otolaryngol 2011:13

    Article  Google Scholar 

  5. Brandt T, Steddin S, Daroff RB (1994) Therapy for benign paroxysmal positioning vertigo, revisited. Neurology 44:796–800

    Article  CAS  PubMed  Google Scholar 

  6. Schuknecht H (1994) Auditory and cytocochlear correlates of inner ear disorders. Otolaryngol Head Neck Surg 110:530–8. https://doi.org/10.1177/019459989411000610

    Article  CAS  PubMed  Google Scholar 

  7. Crane BT, Minor LB (2021) Peripheral vestibular disorders. Cummings otolaryngology: head and neck surgery, vol 167. Elsevier; Amsterdam, The Netherlands, pp 2517–2535

    Google Scholar 

  8. Gacek RR (1974) Transection of the posterior ampullary nerve for the relief of benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 83(5):596–605. https://doi.org/10.1177/000348947408300504

    Article  CAS  PubMed  Google Scholar 

  9. Kaur J, Shamanna K (2017) Management of benign paroxysmal positional vertigo: a comparative study between Epley’s Maneuver and Betahistine. Int Tinnitus J 21:30–34

    Article  PubMed  Google Scholar 

  10. Jacobson GP, Newman CW (1990) The development of the dizzi-ness handicap inventory. Arch Otolaryngol Head Neck Surg 116:424–427

    Article  CAS  PubMed  Google Scholar 

  11. Pereira AB, Santos JN, Volpe FM (2010) Effect of Epley’s maneuver on the quality of life of paroxysmal positional benign vertigo patients. Braz J Otorhinolaryngol 76:704–708

    Article  PubMed  Google Scholar 

  12. Castro ASO, Gazzola JM, Natour J, Ganança FF (2007) Versão brasileira do dizziness handicap inventory. Pró-Fono 19(1):97–104

    Article  PubMed  Google Scholar 

  13. Handa PR, Kubn AMB, Cunha F, Scbaffleln R, Ganança FF (2005) Qualidade de vida em pacientescom vertigem posicional paroxística benigna e/ou doença de Ménière. Braz J Otorhinolaryngol 71(6):776–783

    Article  PubMed  Google Scholar 

  14. Ganança FG, Castro ASO, Branco FC, Natour J (2004) Interferência da tontura ma qualidade de vida de pacientes com síndrome vestibular periférica. Rev Bras Otorrinolaringol 70(1):94–101

    Article  Google Scholar 

  15. Paiva AD, Kuhn AMB (2004) Psychological symptoms associated with dizziness complaint in neurootological patients of Federal University of Sao Paulo–Escola Paulista de Medicina. Braz J Otorhinolaryngol 70(4):512–515

    Google Scholar 

  16. Wang H, Yu D, Song N, Su K, Yin S (2013) Delayed diagnosis and treatment of benign paroxysmal positional vertigo associated with current practice. Eur Arch Otorhinolaryngol 271:261

    Article  PubMed  Google Scholar 

  17. Prokopakis E, Vlastos IM, Tsagournisakis M et al (2013) Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 18(2):83–88

    Article  CAS  PubMed  Google Scholar 

  18. Della Pepa C, Guidetti G, Eandi M (2006) Betahistine in the treatment of vertiginous syndromes: a meta-analysis. Acta Otorhinolaryngol Ital 26(4):208–215

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Kaur J, Shamanna K (2017) Management of benign paroxysmal positional vertigo: a comparative study between Epleys Manouvre and Betahistine. Int Tinnitus J 21(1):30–34

    Article  PubMed  Google Scholar 

  20. Jalali MM, Gerami H, Razaghi S et al (2019) The impact of betahistine versus dimenhydrinate in the resolution of residual dizziness in patients with benign paroxysmal positional vertigo: a randomized clinical trial. Ann Otol Rhinol Laryngol 129(5):434–440

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Otorhinolaryngology, SAMC and PGI, Indore, India

    Anurag Manoj Srivastava, Shirin Ansari & Vishal Rattan Munjal

  2. Department of Speech and Hearing, SAMC and PGI, Indore, India

    Ramji Pathak & Nirnay Kumar Keshree

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  1. Anurag Manoj Srivastava
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  2. Shirin Ansari
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  3. Ramji Pathak
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  4. Vishal Rattan Munjal
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  5. Nirnay Kumar Keshree
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Contributions

AMS—Concepts, Design, Manuscript preparation, Manuscript editing, Guarantor. SA—Literature search, Data acquisition, Manuscript preparation, Manuscript editing, Manuscript review, NKK—Data analysis, Statistical analysis, Manuscript review. VRM—Concepts, Design, Manuscript preparation, Guarantor, RP—Literature search, Data acquisition, Statistical analysis, Manuscript editing.

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Correspondence to Anurag Manoj Srivastava.

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Ethical Approval and Consent to Participate

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional ethical committee. The name of the body that gives ethical clearance is SRI AUROBINDO MEDICAL COLLEGE & PG INSTITUTE INSTITUTIONAL ETHICS COMMITTEE.

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The patient gave written consent for the publication of identifiable details, which included photograph(s) and/or videos and/or case history and/or details within the text to be published in the journal and that is mentioned in standardized consent form of our study in point 5 and 6.

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Srivastava, A.M., Ansari, S., Pathak, R. et al. A Study of Quality of Life Improvement in Videonystagmography Guided Epley’s Manoeuvre in Posterior Canal Benign Paroxysmal Positional Vertigo. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04571-5

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