Epleys Versus Semonts Manoeuvre in Posterior Canal Benign Paroxysmal Positional Vertigo

Prasun Mishra; K Lasya Sai Sindhu; R Chethana; Maitri Kaushik

doi:10.1007/s12070-023-03624-5

Epleys Versus Semonts Manoeuvre in Posterior Canal Benign Paroxysmal Positional Vertigo

Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):523-527. doi: 10.1007/s12070-023-03624-5. Epub 2023 Mar 2.

Authors

Prasun Mishra¹, K Lasya Sai Sindhu², R Chethana¹, Maitri Kaushik¹

Affiliations

¹ Bharati vidyapeeth Deemed to be University Medical College, Pune, India.
² Neurootologist Citi Neuro Centre, 500034 Hyderabad, India.

Abstract

Introduction: Benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder is characterized by short-lived episodes of rotatory vertigo in association with rapid changes in head position. Diagnosis of BPPV is clinical. The principle of treatment of BPPV involves maneuvers comprising of head movements, in order to bring the free debris from the semicircular canal back to the utricle. In this study we tried to evaluate and compare Epleys and the Semonts manoeuvre in the treatment of Benign paroxysmal positional vertigo of the posterior semicircular canal in terms of subjective and objective improvement. Materials and methods: Study Design: This prospective randomized study included 200 vertigo patients attending ENT OPD of tertiary care centre with Dix Hallpike positive status. (September 2017 -August 2019). Objective improvement was compared in terms of Dix Hallpike positivity between both groups on weekly follow up for four weeks. Subjective improvement was compared in both the groups by dizziness Handicapp index ( DHI) on follow-ups. Results: Total 200 patients formed part of study, with 100 in each group. On comparing Dix Hallpike positivity between both groups on weekly follow ups there was no significant difference between both the groups. DHI, compared between both groups showed that Semonts Maneouver was significantly better. Conclusion: In patients of BPPV both Epleys and Semonts are equally effective objectively. However the subjective improvement was better in patients on whom Semonts manoeuvre was performed.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-023-03624-5.

Keywords: BPPV; Epley’s manoeuvre; Semont’s manoeuvre.

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