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Epley and Semont maneuvers for posterior canal benign paroxysmal positional vertigo: A network meta-analysis

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单位: [1]Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Xicheng District, Beijing, China
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关键词: Epley Semont posterior canal benign paroxysmal positional vertigo network meta-analysis

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Objectives/HypothesisUsing network meta-analysis, we aimed to compare the efficacy and safety of Epley and Semont maneuvers as treatment options for posterior canal benign paroxysmal positional vertigo. Study DesignNetwork meta-analysis. MethodsRandomized controlled studies with a Jadad score 3 that used an Epley or Semont maneuver in posterior canal benign paroxysmal positional vertigo patients were analyzed in this project. The following efficacy outcomes included 1-week recovery rate and end of study recovery rate. Recurrence rate was used to assess the safety of each treatment. ResultsOf 589 articles, 12 studies that enrolled 999 posterior canal benign paroxysmal positional vertigo patients were selected. The pooled analysis revealed that the Epley maneuver was as efficacious as the Semont maneuver, in both the 1-week recovery rate and end of study recovery rate (odds ratio [OR] = 1.8, 95% confidence interval [CI] = 0.48-7.00; OR = 1.8, 95% CI = 0.47-7.20), and had a similar recurrence rate (OR = 1.00, 95% CI = 0.33-4.4). These two techniques were both better than sham-controlled treatment in the two efficacy indicators. No difference was observed in recurrence rate for treatments. ConclusionsThe Epley maneuver was similar to the Semont maneuver in both efficacy and safety for posterior canal benign paroxysmal positional vertigo in short-term effects, and both were superior to the sham-controlled treatment. Level of EvidenceNA Laryngoscope, 126:951-955, 2016

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 2 区 耳鼻喉科学 4 区 医学:研究与实验
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 医学:研究与实验 3 区 耳鼻喉科学
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出版当年[2014]版:
Q1 OTORHINOLARYNGOLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2024]版:
Q2 OTORHINOLARYNGOLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2024版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Xicheng District, Beijing, China [*1]Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong An Street, Xicheng District, Beijing, 100050, China
通讯作者:
通讯机构: [1]Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Xicheng District, Beijing, China [*1]Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong An Street, Xicheng District, Beijing, 100050, China
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