كانال خلفي BPPV تعداد جلسات لازم جهت بهبودي بيماران با سرگيجه خوش خيم وضعيتي SEMONT و EPLEY مقايسه عوارض ناشي از انجام مانورهاي

Evaluating and Comparison of the Complications Rate and the Number of Epley and Semont Maneuvers Needed in Treatment of Benign Positional Vertigo

Introduction: Benign positional vertig in one of the most common causes of patient reference to the otolaryngologist. Maneuver therapy (Epley & Semont) was effective and with few complications. The object of this study was evaluation and comparison of the complications and the number of maneuver needed for recovery in BPPV patients. Methods: Center from April 2001 to September 2002 in 130 patients with The study performed in Ayatollah Kashani Medical confirmed diagnosis of posterior canal Benign positional vertigo with history taking and hall pick testing . The patients were randomely placed in two groups of 65 cases. For these groups respectively Epley and Semont maneuver performed by researcher and during a three months of follow up, each week the patients evaluated for recovery by performing hall pick maneuver and history taking. Results: (P < 0.05). Theses two groups were matched for gender and age The recovery rate of Epley and Semont group at the end of follow up were respectively (93.84% - 76.92%) (P = 0.01). 0.082). The complication rate were respectively (4.61% - 0%)(P = The mean number of maneuver implemented were respectively (1.93 ± 1.09 and 2.1 ± 0.88) (P = 0.09). Conclusion: This study showed that both maneuvers were effective, with more efficacy of Epley. These maneuvers have no meaning full difference in complication rate / and the number of maneuvers needed for recovery.