Original Paper

The Effect of Canalith Repositioning for Anterior Semicircular Canal Canalithiasis
Yoon Kyung Kim, Jeong Eun Shin, Jong Woo Chung

Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea

Address of Corresponding Author

ORL 2005;67:56-60 (DOI: 10.1159/000084336)

  Key Words

• Paroxysmal positional vertigo
• Vestibular diseases
• Nystagmus
• Physical therapy techniques

  Abstract

The purpose of this study was to evaluate the efficacy of our canalith repositioning procedure (CRP) for benign paroxysmal positional vertigo (BPPV) of the anterior semicircular canal (ASC). We conducted a prospective study of 30 ASC BPPV patients to analyze the efficacy of a modified CRP. When the patient was diagnosed as having ASC BPPV by a specific provocative positioning test, a CRP was performed. The response to the treatment was categorized as grade I-IV. Of the 30 study patients, 6 were male and 24 were female with the highest incidence when the patients were in their 50s. The vertigo and nystagmus in 29 patients fully resolved (grade I). Using this maneuver, 96.7% of patients became symptom free. Overall, the maneuver needed to be performed 1.97 times to control the symptoms. Based on these findings, CRP could be one of the most effective treatment methods for ASC BPPV.

Copyright © 2005 S. Karger AG, Basel

  Author Contacts

Jong Woo Chung, MD
Department of Otolaryngology, Asan Medical Center University of Ulsan
College of Medicine, 388-1 Pungnap-Dong, Songpa-Gu
Seoul,138-736 (Korea)
Tel. +82 2 3010 3718, Fax +82 2 489 2773

  Article Information

This study was presented at the 24th Politzer Society Meeting in Amsterdam, the Netherlands, on August 31 to September 4, 2003.

Received: January 8, 2004
Accepted after revision: October 1, 2004
Published online: March 9, 2005
Number of Print Pages : 5
Number of Figures : 1, Number of Tables : 1, Number of References : 13