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2011•Acta Academiae Medicinae Qingdao UniversitatisRequires access

CANALITH REPOSITIONING IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO

Zhang Qiugui

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Abstract

Objective To discuss the use of manual reduction of canalith for benign paroxysmal positional vertigo(BPPV).Methods A retrospective summary of 75 patients with BPPV(treated between January 2007 and December 2009) were conducted.The affected semicircular canal was determined first,and reduction of canalith then carried out.The posterior and anterior semicircular canals were reducted by modified Epley repositioning,and lateral semicircular canal by Barbecue rotation.Results Of 75 patients treated,positional vertigo completely disappeared in 53 patients(70.6%) after the first treatment,10 after the second therapy,and seven after the third one,with total effective rate being 93.3%.Conclusion The key of BPPV therapy is to determine the affected semicircular duct,and then to select different types of repositioning accordingly.Eardust resetting therapy is safe and reliable,which should be the first choice for BPPV.

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Objective To discuss the use of manual reduction of canalith for benign paroxysmal positional vertigo(BPPV).Methods A retrospective summary of 75 patients with BPPV(treated between January 2007 and December 2009) were conducted.The affected semicircular canal was determined first,and reduction of canalith then carried out.The posterior and anterior semicircular canals were reducted by modified Epley repositioning,and lateral semicircular canal by Barbecue rotation.Results Of 75 patients treated,positional vertigo completely disappeared in 53 patients(70.6%) after the first treatment,10 after the second therapy,and seven after the third one,with total effective rate being 93.3%.Conclusion The key of BPPV therapy is to determine the affected semicircular duct,and then to select different types of repositioning accordingly.Eardust resetting therapy is safe and reliable,which should be the first choice for BPPV.

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Available abstract

Objective To discuss the use of manual reduction of canalith for benign paroxysmal positional vertigo(BPPV).Methods A retrospective summary of 75 patients with BPPV(treated between January 2007 and December 2009) were conducted.The affected semicircular canal was determined first,and reduction of canalith then carried out.The posterior and anterior semicircular canals were reducted by modified Epley repositioning,and lateral semicircular canal by Barbecue rotation.Results Of 75 patients treated,positional vertigo completely disappeared in 53 patients(70.6%) after the first treatment,10 after the second therapy,and seven after the third one,with total effective rate being 93.3%.Conclusion The key of BPPV therapy is to determine the affected semicircular duct,and then to select different types of repositioning accordingly.Eardust resetting therapy is safe and reliable,which should be the first choice for BPPV.

Key concepts: Benign paroxysmal positional vertigo, Posterior Semicircular Canal, Medicine, Semicircular canal, Vertigo, Surgery, Nystagmus, Reduction (mathematics)

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