埃普利医生对耳石症治疗方法形成的贡献

Dr.Epley's contribution to the treatment of benign paroxysmal positional vertigo

良性阵发性位置性眩晕(BPPV)又称耳石症,是最为常见的眩晕疾病。严重的BPPV患者,既往多采用手术治疗,但可能存在损害听力和平衡功能的风险。1979年,约翰·麦克诺顿·埃普利(John McNaughton Epley)提出了治疗后半规管BPPV患者头部和躯体的一系列动作流程,被称为“Epley手法”,并催生了后半规管BPPV的管石理论。此后,外侧半规管BPPV和嵴帽结石症的治疗手法相继报道。然而,在所有的复位治疗手法中,Epley手法占有最重要的地位。

Benign paroxysmal positional vertigo(BPPV)is the most common vestibular disorder characterized by dizziness.In severe cases of BPPV,surgical treatment has been traditionally used,but it may carry risks of impairing hearing and balance function.In 1979,John McNaughton Epley introduced a series of sequential maneuvers involving head and body movements for the treatment of posterior canal BPPV,known as the"Epley Maneuver".This technique also gave rise to the canalith repositioning theory for posterior canal BPPV.Subsequently,treatment techniques for lateral canal BPPV and cupulolithiasis have been reported.However,among all the repositioning techniques,the Epley Maneuver holds the most significant position.