Özet:

In this study, the effectiveness of Epley's maneuver in the treatment of benign paroxysmal positional vertigo in the posterior semicircular channel was compared to Semont maneuver, and short-term follow-up differences in the period of recovery of symptoms were observed. Methods: Prospective, randomized and comparative conducted in our clinic between April 2019 and October 2019 this study included 60 patients (23 men, 37 women; median age: 44.9 years; distribution, 14-80 years) who were detected by lateral semicircular canal benign paroxysmal positional vertigo. Under the video-stagmography examination, diagnosis and treatment maneuveres were performed. Participants were randomly selected after diagnosis tests for Epley maneuver and Semont maneuver treatment groups. In the evaluation of vertigon with videonistagmography, 25 patients in the Epley maneuver group (83.3%) in the first week of control and 20 patients in the Semont maneuver group (66.6%); 28 patients in the Epley maneuver group (93.3%) in the second week of control and 24 patients in the Semont maneuver group (80%) healed. All patients in the Epley maneuver group were healed at the end of a month, with four patients in the Semont maneuver group still experiencing swelling symptoms (86.6 percent, p=0.04). In a weekly, two-weekly and one-month control, there was a statistically significant difference between Epley and Semont groups in terms of visual analog scores (respectively, p=0.002, p<0.001, p=0.001). The Epley maneuver was significantly more effective than the Semont maneuver in the treatment of vertigo in the short-term treatment of the benign paroxysmal positional vertigone of the posterior semicircular channel. Keywords: Benign paroxysmal positional vertigo, Epley maneuver, Semont maneuver, videonistagmography.

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