• Elif Kaya Çelik, Fatih Öner, and Hatice Güzelküçük Akay.
• From the Otorhinolaryngology Head and Neck Surgery Department, Tokat Gaziosmanpasa Universitesi, Tokat, Turkey.
• Ann Saudi Med. 2024 May 1; 44 (3): 161166161-166.

BackgroundBenign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular condition characterized by short-term vertigo attacks that significantly affect quality of life.ObjectivesExamine how well a single Epley maneuver worked in an outpatient setting for people with posterior canal benign paroxysmal positional vertigo (PC-BPPV) and whether they needed a second Dix-Hallpike maneuver.DesignProspective.SettingsOtorhinolaryngology department of a tertiary care center.Patients And MethodsSociodemographic data, body mass index (BMI), and systemic disease history of 75 patients diagnosed with PC-BPPV were recorded, and their relationship with success rates after the modified Epley maneuver was analyzed.Main Outcome MeasuresDetect cases that could not be repositioned with the diagnostic control Dix-Hallpike test performed 20 minutes after the modified Epley reposition maneuver in the same session in PC-BPPV patients.Sample Size75.ResultsOf the 75 patients, 31 were male (41.3%), 44 female (58.6%) with a mean (standard deviation) age of 58.6 (15.9) years age, 54.6% had one or more chronic diseases. BMI was 30 mg/kg2 and above in 31 patients (41.3%). The modified Epley maneuver was successful in 77.3%. No significant relationship was found between additional diseases or BMI in the patient group in whom the maneuver was unsuccessful.ConclusionThe success rates of repositioning maneuvers in treating patients diagnosed with PC-BPPV are high. However, more than a single maneuver is required in some resistant patients. Second diagnostic and repositioning maneuvers performed in the same session will reduce multiple hospital admissions. While it is helpful to repeat the maneuver in the patient group where it was unsuccessful, other factors causing the failure should be investigated.LimitationsLack of follow-up results of patients after 7-10 days.

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