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<p>Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of peripheral vertigo and results from displacement of otoconia within the semicircular canals. Canalith repositioning manoeuvres such as Epley’s and Semont’s manoeuvres are widely used; however, their comparative effectiveness remains a subject of clinical interest. This prospective randomized study was conducted in the Department of Otorhinolaryngology at a tertiary care centre from January 2023 to May 2024. A total of 52 patients diagnosed with BPPV based on clinical evaluation and a positive Dix–Hallpike test were included. Patients were randomly allocated into two groups: Group A (Epley’s manoeuvre) and Group B (Semont’s manoeuvre), with 26 patients in each group. The primary outcome measure was resolution of vertigo following intervention, while secondary outcomes included improvement in postural instability, nystagmus, and associated symptoms such as nausea and vomiting. Patients were followed up for three months. The baseline characteristics of both groups were comparable. Complete resolution of vertigo was observed in 100% of patients in the Epley group compared to 42.3% in the Semont group (<i>p</i> &lt; 0.0001). Similarly, improvements in postural instability, nystagmus, and associated symptoms were significantly greater in the Epley group. All outcome variables showed statistically significant improvement in the Epley group compared to the Semont group. Epley’s manoeuvre demonstrated significantly superior efficacy compared to Semont’s manoeuvre in achieving symptom resolution in patients with BPPV. However, both manoeuvres remain effective and safe treatment options. </p>

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Comparative Study of Epley’s Maneuver with Semont’s Maneuver in the Management of Benign Paroxysmal Positional Vertigo

  • 期刊论文

  • 发表日期：

    2026年6月15日

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  • S. Jaya Sandeep,
  • S. Dheeraj,
  • Rohan Shetty,
  • Prateek Prasoon,
  • S. Sathish Kumar

摘要

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of peripheral vertigo and results from displacement of otoconia within the semicircular canals. Canalith repositioning manoeuvres such as Epley’s and Semont’s manoeuvres are widely used; however, their comparative effectiveness remains a subject of clinical interest. This prospective randomized study was conducted in the Department of Otorhinolaryngology at a tertiary care centre from January 2023 to May 2024. A total of 52 patients diagnosed with BPPV based on clinical evaluation and a positive Dix–Hallpike test were included. Patients were randomly allocated into two groups: Group A (Epley’s manoeuvre) and Group B (Semont’s manoeuvre), with 26 patients in each group. The primary outcome measure was resolution of vertigo following intervention, while secondary outcomes included improvement in postural instability, nystagmus, and associated symptoms such as nausea and vomiting. Patients were followed up for three months. The baseline characteristics of both groups were comparable. Complete resolution of vertigo was observed in 100% of patients in the Epley group compared to 42.3% in the Semont group (p < 0.0001). Similarly, improvements in postural instability, nystagmus, and associated symptoms were significantly greater in the Epley group. All outcome variables showed statistically significant improvement in the Epley group compared to the Semont group. Epley’s manoeuvre demonstrated significantly superior efficacy compared to Semont’s manoeuvre in achieving symptom resolution in patients with BPPV. However, both manoeuvres remain effective and safe treatment options.