BalanceEar, Nose and ThroatHearing and Balance
By Kristen Janky, Au.D, Ph.D., CCC-A
One treatment for horizontal canal BPPV is to do the Gufoni
or the Appiani maneuver. For this
maneuver you’re going to have the patient lay away from the affected side. So in this example, the patient has right
sided horizontal canal BPPV, and so she is going to lay down on her left side,
keeping her head straight. We’ll hold
this position for one to two minutes or until the nystagmus fatigues. After one to two minutes or until the
nystagmus fatigues, we’ll have her turn her head, nose facing the floor, again
for one to two minutes or until the nystagmus goes away. After which she will return to the seated
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