양성돌발두위현훈에 대한 국내 이과 전문의들의 진단 및 치료 행태에 대한 다기관 연구
- 양성돌발두위현훈에 대한 국내 이과 전문의들의 진단 및 치료 행태에 대한 다기관 연구
- Other Titles
- Multicenter Study on the Clinician’s Diagnostic and Therapeutic Approaches for Benign Paroxysmal Positional Vertigo in Korea
- 배창훈; 전원주[전원주]; 정원호[정원호]; 최정환[최정환]; 남의철[남의철]; 박홍주[박홍주]; 이종대[이종대]; 이원상[이원상]; 김규성[김규성]; 고의경[고의경]; 구자원[구자원]; 김민범[김민범]; 김민범[김민범]; 김세형[김세형]; 김영진[김영진]; 김창희[김창희]; 남성일[남성일]; 문석균[문석균]; 박가영[박가영]; 박상유[박상유]; 박시내[박시내]; 부성현[부성현]; 서명환[서명환]; 서재현[서재현]; 손은진[손은진]; 송재준[송재준]; 송재진[송재진]; 신중욱[신중욱]; 심대보[심대보]; 안성기[안성기]; 염혜연[염혜연]; 유신영[유신영]; 이동희[이동희]; 이승환[이승환]; 이창호[이창호]; 이현석[이현석]; 이환호[이환호]; 이효정[이효정]; 정연훈[정연훈]; 최승효[최승효]; 최지선[최지선]; 홍석민[홍석민]; 홍성광[홍성광]
- 양성돌발두위현훈; 진단; 치료; Vertigo; Benign paroxysmal positional; Diagnosis; Treatment
- Issue Date
- Research in Vestibular Science, v.12, no.3, pp.79 - 92
- It is necessary to establish the most efficient diagnostic and therapeutic method for benign paroxysmal positional vertigo (BPPV),which is appropriate for Korean healthcare system. We aimed to evaluate current state of Korean clinician’s diagnostic and therapeutic approaches for BPPV.
Materials and Methods: A 16-item survey was emailed to the members of dizziness department of Otology Research Interest Group in the Korean Otologic Society (n=68). 43 were returned and analyzed. Results: All respondents (100%) used Dix-Hallpike test as a diagnostic tool for vertical canal-BPPV. Supine roll test was used for diagnosing lateral canal BPPV in nearly all the respondents (97.7%).
Epley maneuver was chosen as otolith repositioning maneuver (ORM) for posterior canal BPPV in all respondents and barbecue rotation (BBQ) was used for treating lateral canal BPPV with geotropic nystagmus in 95.3% of respondents.
Extreme variation was noted for therapeutic approach of lateral canal BPPV with ageotropic nystagmus BBQ, with 4 kinds of ORM and adjunctive measures to liberate otolith from cupula, while BBQ was again the most commonly used ORM (76.7%). Conclusion: The development of practical and efficient ORM for lateral canal BPPV with ageotropic nystagmus is necessary.
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