Right-sided otolith repositioning maneuver steps

May 17, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
In general, otolithiasis, also known as benign paroxysmal positional vertigo, can usually be treated using techniques such as the canalith liberation maneuver or the canalith repositioning procedure. Taking the canalith repositioning procedure as an example, the specific steps are as follows: The patient's head is turned 45 degrees toward the affected side, then the patient is quickly moved from a sitting position to a supine position, with the head kept hanging down 30 degrees. After one minute, the head is rotated 90 degrees toward the healthy side.

Generally, otolithiasis, also known as benign paroxysmal positional vertigo (BPPV), can be treated using techniques such as the liberatory maneuver or the repositioning maneuver. Taking the repositioning maneuver as an example, the specific procedure is as follows:

1. Turn the patient's head 45 degrees toward the affected side, then quickly change from a sitting position to a supine position, keeping the head hanging down 30 degrees.

2. After one minute, rotate the head 90 degrees toward the healthy side.

3. After another minute, continue rotating both the patient's head and body together another 90 degrees toward the healthy side.

4. Finally, slowly return to a sitting position to complete the repositioning of the otoliths.

It is recommended that patients undergo this procedure at a正规 medical facility under the guidance of a qualified physician to avoid potential injury caused by improper manipulation.