ABSTRACT

Canalith Repositioning and Semont Liberatory Maneuvers have been shown to be highly efficacious in the successful treatment of Benign Paroxysmal Positional Vertigo (BPPV). The differentiation of canalalithiasis, cupulolithiasis, and correct identification of canal involvement, particularly through the use of Video-oculography, have enhanced treatment decisions and outcomes.

Since 1994, approximately 700 BPPV patients have been treated at the authors’ clinical facility. An anecdotal study of 376 of these patients followed over a 7-year period is presented. The patients in the historical study all presented with BPPV- PC and were treated with modified Canalith Repositioning Maneuver and Semont Liberatory Maneuver treatment procedures. The review indicated no significant differences in treatment outcomes between the two procedures. Seventy-nine percent of the patients required only one treatment, while 17% required two treatments, 3.5% required three treatments, and 0.05% required four treatments. The average number of treatments was 1.3. The SLM did show a reduced recurrence rate compared to the CRP method.