360-Degree canalith repositioning procedure for the horizontal canal

To evaluate the efficacy of modifications to the standard canalith repositioning procedure (CRP) in the treatment of benign positional vertigo (BPV) of the horizontal semicircular canal (HSC). Prospective trial of 72 patients with BPV of the HSC treated with a modified 360-degree CRP. 51 of the 62 p...

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Veröffentlicht in:Otolaryngology-head and neck surgery 2004-11, Vol.131 (5), p.740-746
Hauptverfasser: Tirelli, Giancarlo, Russolo, M.
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container_title Otolaryngology-head and neck surgery
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creator Tirelli, Giancarlo
Russolo, M.
description To evaluate the efficacy of modifications to the standard canalith repositioning procedure (CRP) in the treatment of benign positional vertigo (BPV) of the horizontal semicircular canal (HSC). Prospective trial of 72 patients with BPV of the HSC treated with a modified 360-degree CRP. 51 of the 62 patients treated for canalolithiasis made a complete recovery (82.2%) after a single 360-degree CRP. It is proposed a full 360-degree rotation of the HSC involved. It is essential to begin rotation of the patient departing from the affected side towards the healthy side, especially for canal side cupulolithiasis and for canalithiasis of the ampullar branch of the HSC. The head resting on the chest at angle of 30-degree during rotating encourages free-floating debris in the HSC to move into the utricle. Instead of using an oscillator for oscillation of the mastoid bone the head is shaken manually.
doi_str_mv 10.1016/j.otohns.2004.01.021
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source MEDLINE; Wiley Online Library; SAGE Journals; Alma/SFX Local Collection
subjects Adult
Aged
Aged, 80 and over
Female
Humans
Labyrinth Diseases - complications
Labyrinth Diseases - surgery
Lithiasis - complications
Lithiasis - surgery
Male
Middle Aged
Otologic Surgical Procedures - methods
Prospective Studies
Semicircular Canals
Treatment Outcome
Vertigo - etiology
Vertigo - surgery
title 360-Degree canalith repositioning procedure for the horizontal canal
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