Gaur Sushil, Awasthi Sanjeev Kumar, Bhadouriya Sunil Kumar Singh, Saxena Rohit, Pathak Vivek Kumar, Bisht Mamta
Department of E.N.T. and Head & Neck Surgery, School of Medical Science & Research, Greater Noida 201306, India.
Int J Otolaryngol. 2015;2015:487160. doi: 10.1155/2015/487160. Epub 2015 Oct 1.
Vertigo and balance disorders are among the most common symptoms encountered in patients who visit ENT outpatient department. This is associated with risk of falling and is compounded in elderly persons with other neurologic deficits and chronic medical problems. BPPV is the most common cause of peripheral vertigo. BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact, and medical costs. The objective of Epley's maneuver, which is noninvasive, inexpensive, and easily administered, is to move the canaliths out of the canal to the utricle where they no longer affect the canal dynamics. Our study aims to analyze the response to Epley's maneuver in a series of patients with posterior canal BPPV and compares the results with those treated exclusively by medical management alone. Even though many studies have been conducted to prove the efficacy of this maneuver, this study reinforces the validity of Epley's maneuver by comparison with the medical management.
眩晕和平衡障碍是耳鼻喉科门诊患者最常见的症状之一。这与跌倒风险相关,在患有其他神经功能缺损和慢性疾病的老年人中情况更为复杂。良性阵发性位置性眩晕(BPPV)是周围性眩晕最常见的原因。BPPV是一种常见的前庭疾病,会导致显著的发病率、社会心理影响和医疗费用。Epley手法无创、廉价且易于实施,其目的是将耳石从半规管移出至椭圆囊,使其不再影响半规管动力学。我们的研究旨在分析一系列后半规管BPPV患者对Epley手法的反应,并将结果与仅接受药物治疗的患者进行比较。尽管已经进行了许多研究来证明该手法的有效性,但本研究通过与药物治疗进行比较,进一步强化了Epley手法的有效性。