Efficacy of the barbecue manoeuvre in benign paroxysmal vertigo of the horizontal canal

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Serval ID
serval:BIB_89B26ACBE787
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Efficacy of the barbecue manoeuvre in benign paroxysmal vertigo of the horizontal canal
Journal
European Archives of Oto-rhino-laryngology
Author(s)
Escher A., Ruffieux C., Maire R.
ISSN
0937-4477
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
264
Number
10
Pages
1239-1241
Language
english
Abstract
Five to ten percent of benign paroxysmal positional vertigo are caused by the horizontal semi-circular variant (h-BPPV). In this study, we reviewed the efficacy of the Barbecue repositioning manoeuvre in h-BPPV, and we assessed the possible effect of different factors on the outcome. Barbecue manoeuvre consists in turning the supine patient around his longitudinal axis toward the unaffected side until 360 degrees are accomplished. After every 90 degrees step the patient is maintained in the new position for 30 s. We reviewed 46 patients with h-BPPV, treated by barbecue rotation from 2003 to 2005. After the first Barbecue manoeuvre, the patients were followed-up at intervals of approximately 1 week and the rotation was repeated if h-BPPV persisted (up to three rotations). Factors assessed were age, gender, duration of symptoms before treatment and type of h-BPPV (canalolithiasis vs. cupulolithiasis). Fisher's exact test was used for the analysis. Results: 85% of patients (39/46) were cured after a maximum of 3 rotations. 74% (34/46) were cured after the first manoeuvre and 80% (37/46) after the second one. None of the evaluated factors did significantly affect the efficacy (P > 0.05). The Barbecue manoeuvre is an efficient treatment of h-BPPV demonstrating 85% cure rate after a maximum of three sessions. 74% of the patients are healed after one manoeuvre. The efficacy is not affected by the evaluated factors.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Posture, Retrospective Studies, Rotation, Semicircular Canals, Vertigo
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 11:00
Last modification date
14/02/2022 7:56
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