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ORIGINAL ARTICLE  NEWS IN AUDIOLOGY 

Otorhinolaryngology 2022 September;72(3):117-22

DOI: 10.23736/S2724-6302.22.02446-X

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Efficacy of Yacovino Maneuver for anterior canal-benign paroxysmal positional vertigo: a multicentric prospective study

Pasquale VIOLA 1, Gianluca LEOPARDI 2, Davide PISANI 1 , Alessia ASTORINA 1, Niccolò CERCHIAI 2, Francesco MANTI 3, Alfonso SCARPA 4, Federico Maria GIOACCHINI 5, Giuseppe CHIARELLA 1

1 Unit of Audiology, Department of Experimental and Clinical Medicine, Regional Center for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy; 2 Unit of Otolaryngology, S. Giuseppe Hospital, Empoli, Florence, Italy; 3 Unit of Radiodiagnostics, Magna Graecia University, Catanzaro, Italy; 4 Department of Medicine and Surgery, University of Salerno, Salerno, Italy; 5 Unit of Ear, Nose, and Throat, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy



BACKGROUND: Benign paroxysmal positional vertigo (BPPV) of the anterior canal (AC) is the less frequent form among all the BPPVs. AC is in the upper side of the posterior labyrinth above both the posterior canal (PC) and lateral canal (LC) and the non-ampullary arm slopes directly into the common crus and then into the vestibule. This anatomical setting makes otoconial debris less likely to enter the AC and should also facilitate spontaneous self-elimination by gravity. Several therapeutic maneuvers were proposed for AC-BPPV treatment, but none has shown good efficacy. The aim of this multicenter study was to verify the Yacovino maneuver (YM) effectiveness in AC-BPPV treatment.
METHODS: This study included the analysis of the results of treatment with Yacovino maneuver (YM) in 23 patients affected by BPPV of the AC.
RESULTS: All patients treated with YM achieve complete recovery: 8/23 patients (34.8%) required only one session with one or more maneuvers, while in 15/23 patients (65.2%) two or more sessions were required.
CONCLUSIONS: YM is an effective canalith repositioning procedure for AC-BPPV with a 100% recovery rate. In our experience this maneuver often requires more repetitions either in the same session or, if necessary, in subsequent sessions.


KEY WORDS: Otolaryngology; Benign paroxysmal positional vertigo; Nystagmus, pathologic

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