Therapeutic efficacy of the Galletti–Contrino manoeuvre for benign paroxysmal positional vertigo of vertical semicircular canals in overweight subjects
To compare the Galletti–Contrino manoeuvre with the more widely used Semont–Toupet in overweight subjects presenting with benign paroxysmal positional vertigo (BPBV) of vertical semicircular canals (posterior and anterior canals).
Prospective cohort study.
204 patients (BMI range 25–30) with a diagnosis of BPPV of vertical semicircular canals were randomly divided in two groups treated with two different maneuvers: Galletti–Contrino (Group A) and Semont–Toupet manoeuvre (Group B). The results were compared with those obtained from a control group (204 non-overweight subjects with BPV of vertical semicircular canals.)
Galletti Contrino/ Semont Toupet manoeuvres.
Main outcome measure(s)
Liberatory nystagmus or vertigo after maximum 2 maneuvers. Vertigo and dizziness intensity scores (Visual analogue scale VAS 0–10) from day 0 to day 5 following the repositioning manoeuvre were also recorded in responsive patients.
While in non-overweight subjects no significant difference comparing the effectiveness of the two manoeuvres was found, liberatory nystagmus and vertigo were more frequently observed after Galletti Contrino manoeuvre in overweight subjects; this difference was statistically significant when posterior canals were involved (P < 0.03). Vertigo and dizziness VAS scores reduced significantly from day 0 to day 5 after therapy in all groups. A more significant reduction of dizziness VAS was recorded in patients undergoing Galletti–Contrino manoeuvre at days 4–5 (P < 0.005).
Galletti–Contrino manoeuvre seems to be significantly more effective than Semont–Toupet manoeuvre in the treatment of BPPV of posterior semicircular canal and may be preferential in patients with limited body movements.
Compliance with ethical standards
Conflict of interest
All authors declare no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 7.Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, Chalian AA, Desmond AL, Earll JM, Fife TD, Fuller DC, Judge JO, Mann NR, Rosenfeld RM, Schuring LT, Steiner RW, Whitney SL, Haidari J, American Academy of Otolaryngology-Head, Neck Surgery Foundation (2008) Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 139 (Suppl 4):47–81CrossRefGoogle Scholar
- 10.Giannoni B: La VPPB da labirintolitiasi del CSP. Correlazioni tra nistagmi parossistici e canale/i impiegati. Atti XVI Giornate Italiane di Otoneurologia, 93–113, Sorrento 1999Google Scholar
- 12.Parnes LS, Price-Jones RG (1992) Particle repositioning manoeuvre for benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 102:325–31Google Scholar
- 13.Galletti C, Muscianisi F, Ciodaro F, Campagna P, Contrino F (2003) Proposta di una manovra per il trattamento della VPPB dei canali semicircolari verticali—ORL up-to date. In: Passali D, Belluussi L (eds) 303–304Google Scholar
- 15.Dispenza F, Kulamarva G, De Stefano A (2012) Comparison of repositioning maneuvers for benign paroxysmal positional vertigo of posterior semicircular canal: advantages of hybrid maneuver. Am J Otolaryngol 33(5):528–532. https://doi.org/10.1016/j.amjoto.2011.12.002. (Epub 2012 Feb 6) CrossRefPubMedGoogle Scholar