Epley maneuver is classically used for which condition?

• A. Benign paroxysmal positional vertigo (BPPV)
• B. Meniere disease
• C. Otitis media
• D. Chronic sinusitis

Answer: (A)

The Epley maneuver is a canalith repositioning technique used to treat benign paroxysmal positional vertigo, which arises when small crystals (otoconia) become dislodged and migrate into a semicircular canal, most commonly the posterior canal. By guiding the head and body through a specific sequence of positions, gravity moves these crystals back into the utricle, resolving the vertigo triggered by changes in head position. It’s particularly effective for posterior canal BPPV. It isn’t used for Menière disease, which involves fluctuating hearing loss and tinnitus from endolymphatic hydrops, nor for otitis media or chronic sinusitis, which are infections or inflammations of the ear or sinuses and do not cause the positional vertigo that Epley targets.