DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20205440

Effectiveness of Semont maneuver in the treatment of benign paroxysmal positional vertigo: an institutional study

Swapna U. P., Smitha B., Salil Kumar K.

Abstract


Background: Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo. In this condition, the vertigo is precipitated by certain head movements. BPPV is diagnosed by Dix-Hallpike positional test. Various repositioning maneuvers and treatment modalities exist for the management of this condition. Semont maneuver is a simple procedure for the treatment of posterior semicircular canal BPPV.

Methods: This non randomized controlled study was conducted in the ENT Department of a tertiary care hospital at Thiruvananthapuram over a period of one year. Hundred patients with posterior semicircular canal BPPV were included in the study.  Fifty patients treated with Semont maneuver were compared with 50 patients who were treated with betahistine 16 mg three times daily.  Outcomes were measured by relief of vertigo and negative Dix- Hallpike positional test during follow up examination.

Results: The most common age group affected by BPPV was 50-60 years.  Right side was more affected than the left. There was a female preponderance. 84% patients treated with Semont maneuver were cured at the end of the first week and 90% at the end of the second week. The percentage of patients cured with betahistine were 48% at the end of first week and 56% at the end of second week. 

Conclusions: The Semont maneuver was very effective in the treatment of BPPV. It helps to reduce the long-term use of medicines in our population.


Keywords


Benign paroxysmal positional vertigo, Semont maneuver, Dix- Hallpike positional test

Full Text:

PDF

References


Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;169(7):681-93.

Fife TD, Giza C. Posttraumatic vertigo and dizziness. Seminars Neurol. 2013;33(3):238-43.

Liu H. Presentation and outcome of post-traumatic benign paroxysmal positional vertigo. Acta Oto-Laryngol. 2012;132(8):803-6.

Mizukoshi K, Watanabe Y, Shojaku, Okubo J, Watanabe I. Epidemiologic studies on BPPV in Japan. Acta Otolaryngol Suppl. 1988;447:67-72.

Von Brevern M, Seelig T, Neuhauser H, Lempert T. Benign paroxysmal positional vertigo predominantly affects the right labyrinth. J Neurol Neurosurg Psychiatry. 2004:75:1487-8.

Viree E, Purcell I, Baloh RW. The Dix Hallpike test and the canalith repositioning maneuver. Larynngoscope. 2001;111:94-945.

Levrat E, Van Melle G, Monnier P, Maire R. Efficacy of the Semont maneuver in benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg. 2003;129(6):629-33.

Chen Y, Zhuang J, Zhang L, Zhou H. Short term efficacy of Semont maneuver for BPPV - a double blind Randomized trial. Otology and Neurotol. 2006;33:1127-30.

Coppo GF, Singarelli S, Francchia P. Benign paroxysmal positional vertigo follows up of 165 cases treated by Semonts liberatory maneuver. Acta Otorhinolaryngol Ital. 1996;16:508-12.

Ajayan PV, Aleena PF, Jacob AM. Epley’s maneuver versus Semont’s maneuver in treatment of posterior canal benign positional paroxysmal vertigo. Int J Res Med Sci. 2017;5(7).

Nuti JD, Nati C, Passali D. Treatment of benign paroxysmal positional vertigo: no need for post maneuver restrictions. Otolaryngol Head Neck Surg. 2000;122(3):440-4.

Vaz Garcia F. Treatment failures in benign paroxysmal positional vertigo.Role of vestibular rehabilitation. Rev Laryngol Otol Rhinol. 2005;129:271-4.