A Comparison of Cure Rates between the Gufoni Maneuver and the Barbecue Maneuver in Patients with Geotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: A Randomized, Single-Blind Study
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Abstract
BACKGROUND: Geotropic horizontal canal benign paroxysmal positional vertigo (HC-BPPV) is usually treated with the Barbecue roll maneuver. However, this method tends to be time-consuming and difficult for patients who are obese, elderly, or have mobility problems. The Gufoni maneuver is thought to be a quicker and easier alternative, though there is no clear data comparing the cure rates of these two methods in Thailand.
OBJECTIVES: To compare the cure rates between the Gufoni maneuver and the Barbecue roll maneuver in Geotropic HC-BPPV, and to compare the side effects of canal switch and severe vomiting after treatment.
METHODS: A randomized, single-blind study was carried out on 40 patients who were assigned treatment by either the Gufoni maneuver (n=20) or the Barbecue maneuver (n=20). The outcomes were assessed at 1 week, 2 weeks and 1 month.
RESULTS: Data from the 40 patients in the study showed that the cure rates were 65% and 55% at 1 week (p=0.75), and 90% and 80% at 2 weeks (p=0.67) for the Gufoni group and Barbecue group, respectively, with 100% of patients cured at 1 month in both groups. No side effects of canal switch or severe vomiting were found after treatment.
CONCLUSIONS: Comparison showed the results between the cure rates of the Gufoni maneuver and the Barbecue maneuver were not statistically significant. However, the Gufoni maneuver was found to be easier, less time-consuming, and involve fewer limitations in patients with difficulty in movement.
Thaiclinicaltrials.org number, TCTR20240703006
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