Epley Manuver

Epley Maneuver for Debris Movement

The procedure, as originally described by Epley in 1992, consisted of the following:

  1. Pre-medication with diazepam or Transderm-Scop given with its peak effect timed to help block nausea during the procedure.
  2. A series of head position changes in which eye movements were closely watched.
  3. Use of a vibrator during head-position changes to help break up and move the debris.
  4. Instructions to the patient to keep his or her head up right for 48 hours after the procedure to keep the debris from re-entering the posterior canal.

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