title: Efficacy of the barbecue manoeuvre in benign paroxysmal vertigo of the horizontal canal.
abstract: Five to ten percent of benign paroxysmal positional vertigo are caused by the horizontal semi-circular variant (h-BPPV). In this study, we reviewed the efficacy of the Barbecue repositioning manoeuvre in h-BPPV, and we assessed the possible effect of different factors on the outcome. Barbecue manoeuvre consists in turning the supine patient around his longitudinal axis toward the unaffected side until 360 degrees are accomplished. After every 90 degrees step the patient is maintained in the new position for 30 s. We reviewed 46 patients with h-BPPV, treated by barbecue rotation from 2003 to 2005. After the first Barbecue manoeuvre, the patients were followed-up at intervals of approximately 1 week and the rotation was repeated if h-BPPV persisted (up to three rotations). Factors assessed were age, gender, duration of symptoms before treatment and type of h-BPPV (canalolithiasis vs. cupulolithiasis). Fisher's exact test was used for the analysis.
  
  
  RESULTS
  85% of patients (39/46) were cured after a maximum of 3 rotations. 74% (34/46) were cured after the first manoeuvre and 80% (37/46) after the second one. None of the evaluated factors did significantly affect the efficacy (P > 0.05). The Barbecue manoeuvre is an efficient treatment of h-BPPV demonstrating 85% cure rate after a maximum of three sessions. 74% of the patients are healed after one manoeuvre. The efficacy is not affected by the evaluated factors.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, University Hospital CHUV, Rue du Bugnon 46, 1011, Lausanne, Switzerland. anette.escher@chuv.ch
authors.forename: Anette
authors.initials: A
authors.lastname: Escher
authors.forename: Christiane
authors.initials: C
authors.lastname: Ruffieux
authors.forename: Raphaël
authors.initials: R
authors.lastname: Maire
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011187:Posture; D012189:Retrospective Studies; D012399:Rotation; D012665:Semicircular Canals / Q000503:physiopathology*; D014717:Vertigo / Q000503:physiopathology* / Q000628:therapy*