Comments on an Update of Clinical Practice Guideline: Benign Paroxysmal Positional VertigoXizheng Shan1, Amy Wang2 and Entong Wang1*
- Corresponding Author:
- Entong Wang, MD, PhD
Department of Otolaryngology-Head and Neck Surgery
General Hospital of Chinese People’s Armed Police Forces
Beijing 100039, China
Tel: 0086 10 88420757
E-mail: [email protected]
Received date: April 25, 2017; Accepted date: May 02, 2017; Published date: May 09, 2017
Citation: Shan X, Wang A, Wang E (2017) Comments on an Update of Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo. Otolaryngol (Sunnyvale) 7:305. doi:10.4172/2161-119X.1000305
Copyright: © 2017 Shan X, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distributionand reproduction in any medium, provided the original author and source are credited.
The clinical practice guideline for benign paroxysmal positional vertigo (BPPV) is newly updated by the American Academy of Otolaryngology—Head and Neck Surgery Foundation. The guideline will guide clinicians to manage BPPV in their clinical practice. But some descriptions in the Statement 1a and Statement 1b of the guideline seem not quite clear or appropriate, which would make clinicians have some misunderstandings. Thus we present our opinions: 1) the Dix-Hallpike test should be repeated on the opposite side no matter the test on initial side is negative or positive due to possible presence of bilateral posterior canal BPPV; and 2) no matter the bilateral Dix- Hallpike tests are negative or positive, the supine roll test should be followed due to possible presence of multicanal BPPV variation with involvement of posterior and lateral canals.