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Anales de Otorrinolaringología Mexicana

2022, Number 3

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Otorrinolaringología 2022; 67 (3)

Management of benign paroxysmal positional vertigo: a national Mexican survey and a proposed algorithm

Torres-Gerardo F, Celis-Aguilar E, Espinoza-Valdez A, Rodríguez-Valero M

Language: Spanish
References: 30
Page: 207-216
PDF size: 381.55 Kb.


ABSTRACT

Background: Benign paroxysmal positional vertigo is a common and treatable peripheral vestibular disorder, unfortunately there is no information on its treatment in Mexico.
Objective: To determine management of benign paroxysmal positional vertigo in Mexico.
Materials and Methods: A cross-sectional prospective study was done with an anonymous multicenter online survey to Mexican Neurotologists from October to December 2020. Google forms, Microsoft Excel and IBM SPSS were used.
Results: Thirty-two neurotologists completed the questionnaire; subjects were between 40 to 49 years old (n = 14). The neurotologists preferred the Epley maneuver (n = 22) to treat posterior canal benign paroxysmal positional vertigo, 16 performed a single maneuver at each visit and only 5 combined maneuvers. Barbecue maneuver (n = 15) was the preferred for the horizontal canal geotropic variety and Gufoni (n = 12) for the apogeotropic variety. Yacovino maneuver was performed for superior canal benign paroxysmal positional vertigo (n = 15). Pharmacological treatment was generally not indicated (n = 16) before the maneuver. Sleeping in a semi-Fowler position was recommended by 25 participants. Refractory benign paroxysmal positional vertigo was treated by 13 neurotologists with Brandt-Daroff exercises until no further nystagmus was evident. Only 7 participants indicated or performed surgical treatment for benign paroxysmal positional vertigo.
Conclusions: Mexican neurotologists preferred a single Epley maneuver for posterior canal benign paroxysmal positional vertigo, Barbecue for geotropic horizontal canal, and Gufoni for apogeotropic variant. Refractory benign paroxysmal positional vertigo was generally treated with Brandt-Daroff maneuver. A low percentage of neurotologists perform surgical treatment.


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