Epley maneuver

Epley maneuver
Epley maneuver

The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV)[1][needs update] of the posterior or anterior canals of the ear.[2] The maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo.[2][3] The maneuver was developed by the physician John M. Epley, and was first described in 1980.[4]

A version of the maneuver called the "modified" Epley does not include vibrations of the mastoid process originally indicated by Epley, as the vibration procedures have been proven ineffective.[5] The modified procedure is now the one generally accepted as the Epley maneuver.

  1. ^ Hilton, Malcolm P; Pinder, Darren K (2004). Hilton, Malcolm P (ed.). "The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo". Cochrane Database of Systematic Reviews (2): CD003162. doi:10.1002/14651858.CD003162.pub2. PMID 15106194.
  2. ^ a b Prokopakis, Emmanuel P.; Chimona, Theognosia; Tsagournisakis, Minas; Christodoulou, Panagiotis; Hirsch, Barry E.; Lachanas, Vassilios A.; Helidonis, Emmanuel S.; Plaitakis, Andreas; Velegrakis, George A. (2005). "Benign Paroxysmal Positional Vertigo: 10-Year Experience in Treating 592 Patients with Canalith Repositioning Procedure". The Laryngoscope. 115 (9): 1667–71. doi:10.1097/01.mlg.0000175062.36144.b9. PMID 16148714. S2CID 30641527.
  3. ^ Wolf, Jeffrey S.; Boyev, Kestutis P.; Manokey, Brenda J.; Mattox, Douglas E. (1999). "Success of the modified epley maneuver in treating benign paroxysmal positional vertigo". The Laryngoscope. 109 (6): 900–3. doi:10.1097/00005537-199906000-00011. PMID 10369279. S2CID 40144383.
  4. ^ Epley, JM (1980). "New dimensions of benign paroxysmal positional vertigo". Otolaryngology–Head and Neck Surgery. 88 (5): 599–605. doi:10.1177/019459988008800514. PMID 7443266. S2CID 19628335.
  5. ^ Parnes, LS; Agrawal, SK; Atlas, J (2003). "Diagnosis and management of benign paroxysmal positional vertigo (BPPV)". CMAJ. 169 (7): 681–93. PMC 202288. PMID 14517129.