Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary

Neil Bhattacharyya; Samuel P Gubbels; Seth R Schwartz; Jonathan A Edlow; Hussam El-Kashlan; Terry Fife; Janene M Holmberg; Kathryn Mahoney; Deena B Hollingsworth; Richard Roberts; Michael D Seidman; Robert W Prasaad Steiner; Betty Tsai Do; Courtney C J Voelker; Richard W Waguespack; Maureen D Corrigan

doi:10.1177/0194599816689660

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary

Otolaryngol Head Neck Surg. 2017 Mar;156(3):403-416. doi: 10.1177/0194599816689660.

Authors

Neil Bhattacharyya¹, Samuel P Gubbels², Seth R Schwartz³, Jonathan A Edlow⁴, Hussam El-Kashlan⁵, Terry Fife⁶, Janene M Holmberg⁷, Kathryn Mahoney⁸, Deena B Hollingsworth⁹, Richard Roberts¹⁰, Michael D Seidman¹¹, Robert W Prasaad Steiner¹², Betty Tsai Do¹³, Courtney C J Voelker¹⁴, Richard W Waguespack¹⁵, Maureen D Corrigan¹⁶

Affiliations

¹ 1 Department of Otolaryngology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.
² 2 Department of Otolaryngology, School of Medicine and Public Health, University of Colorado, Aurora, Colorado, USA.
³ 3 Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA.
⁴ 4 Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
⁵ 5 Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan, USA.
⁶ 6 Barrow Neurological Institute and College of Medicine, University of Arizona, Phoenix, Arizona, USA.
⁷ 7 Intermountain Hearing and Balance Center, Salt Lake City, Utah, USA.
⁸ 8 Vestibular Disorders Association, Portland, Oregon, USA.
⁹ 9 Ear, Nose & Throat Specialists of Northern Virginia, PC, Arlington, Virginia, USA.
¹⁰ 10 Alabama Hearing and Balance Associates, Inc, Birmingham, Alabama, USA.
¹¹ 11 Department of Otolaryngology-Head and Neck Surgery, College of Medicine, University of Central Florida, Orlando, Florida, USA.
¹² 12 Department of Health Management and Systems Science and Department of Family and Geriatric Medicine, School of Public Health and Information Science, University of Louisville, Louisville, Kentucky, USA.
¹³ 13 Department of Otorhinolaryngology, Health Sciences Center, University of Oklahoma, Oklahoma City, Oklahoma, USA.
¹⁴ 14 Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
¹⁵ 15 Department of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
¹⁶ 16 American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

PMID: 28248602
DOI: 10.1177/0194599816689660

Abstract

The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the "Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 14 recommendations developed emphasize diagnostic accuracy and efficiency, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing, and increasing the appropriate therapeutic repositioning maneuvers. An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.

Keywords: BPPV; benign paroxysmal positional vertigo.

Publication types

Practice Guideline
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Algorithms
Benign Paroxysmal Positional Vertigo / diagnosis*
Benign Paroxysmal Positional Vertigo / therapy*
Humans