Optimal reassessment time for treatment response in posterior canal benign paroxysmal positional vertigo
DC Field | Value | Language |
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dc.contributor.author | Song, Mee Hyun | - |
dc.contributor.author | Kong, Tae Hoon | - |
dc.contributor.author | Shim, Dae Bo | - |
dc.date.accessioned | 2022-07-08T14:04:52Z | - |
dc.date.available | 2022-07-08T14:04:52Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2020-02 | - |
dc.identifier.issn | 0023-852X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/146199 | - |
dc.description.abstract | Objectives/Hypothesis The present study aimed to evaluate the optimal reassessment time for treatment response in posterior canal benign paroxysmal positional vertigo (PC-BPPV) following the initial Epley maneuver. Study Design Prospective, single-blinded, randomized study. Methods One hundred eight patients with PC-BPPV agreed to participate. These patients received a single modified Epley maneuver (recommended by the 2008 American Academy of Otolaryngology–Head and Neck Surgery guidelines) daily until positional nystagmus disappeared during the Dix-Hallpike maneuver 24 hours after the treatment. Repeated Dix-Hallpike testing to reassess the treatment response was performed at 1 hour (post-1 hour), every 24 hours (post-24 hours) until the positional nystagmus resolved, 1 week (post-1 week), and 1 month (post-1 month) following the therapeutic maneuver. The difference in the resolution rates at post-1 hour and post-24 hours reassessment was analyzed, and the recurrence rates at post-1 week and post-1 month were evaluated. Results The resolution rate was 67.6% at post-1 hour, which increased to 79.6% at post-24 hours reassessment. There was a statistically significant difference in the results of the Dix-Hallpike test between post-1 hour and post-24 hours follow-up. After complete resolution, nine out of 108 patients (8.3%) demonstrated recurrence within 1 month. Conclusions Reassessment after 24 hours following the initial Epley maneuver is more advantageous than a 1-hour follow-up in patients with PC-BPPV. This information may be helpful for clinicians in deciding the appropriate follow-up period after treatment for PC-BPPV. Level of Evidence 1b Laryngoscope, 130:496–499, 2020 | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.title | Optimal reassessment time for treatment response in posterior canal benign paroxysmal positional vertigo | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Song, Mee Hyun | - |
dc.contributor.affiliatedAuthor | Shim, Dae Bo | - |
dc.identifier.doi | 10.1002/lary.28005 | - |
dc.identifier.scopusid | 2-s2.0-85064560182 | - |
dc.identifier.wosid | 000509566900042 | - |
dc.identifier.bibliographicCitation | LARYNGOSCOPE, v.130, no.2, pp.496 - 499 | - |
dc.relation.isPartOf | LARYNGOSCOPE | - |
dc.citation.title | LARYNGOSCOPE | - |
dc.citation.volume | 130 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 496 | - |
dc.citation.endPage | 499 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Research & Experimental Medicine | - |
dc.relation.journalResearchArea | Otorhinolaryngology | - |
dc.relation.journalWebOfScienceCategory | Medicine, Research & Experimental | - |
dc.relation.journalWebOfScienceCategory | Otorhinolaryngology | - |
dc.subject.keywordPlus | REPOSITIONING PROCEDURE | - |
dc.subject.keywordPlus | MATHEMATICAL-MODEL | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordPlus | MANEUVER | - |
dc.subject.keywordPlus | EPLEY | - |
dc.subject.keywordAuthor | Benign paroxysmal positional vertigo | - |
dc.subject.keywordAuthor | reassessment | - |
dc.subject.keywordAuthor | treatment | - |
dc.subject.keywordAuthor | Epley maneuver | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1002/lary.28005 | - |
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