16
Treatment
Table 11. Gufoni Gufoni Maneuver for Treatment of
Right-sided Lateral Semicircular Canal BPPV-
Apogeotropic Type
Step Action
1 e patient is taken from the sitting position to the straight side-lying position
on the affected side (right side in this instance) for about 30 seconds.
2 From this point there are 2 variations of this maneuver that have been utilized,
based on the possibility that debris can be on either the utricular OR the canal
side of the cupula (or just lodged in the anterior arm of the lateral semicircular
canal).
3 (Pictured in Figure 7) e patient's head is then quickly turned toward the
ground 45-60° and held in position for 1-2 minutes, which would free the
debris from the utricular side of the cupula. e patient then sits up again with
the head held toward the le shoulder until fully upright and then may be
straightened.
(Not pictured): In variation 2, move the patient's head NOSE UP 45-60° and
held in that position for 1-2 minutes, which would free the debris from the
canal side of the cupula (or from being lodged in the anterior arm of the lateral
semicircular canal).
Table 10. Gufoni Maneuver for Treatment of Right-sided
Lateral Semicircular Canal BPPV-geotropic Type
Step Action
1 e patient is taken from the sitting position to the straight side-lying position
on the unaffected side for about 30 seconds.
2 en patient's head is quickly turned toward the ground 45-60° and held in
position for 1-2 minutes.
3 e patient then sits up again with the head held toward the le shoulder until
fully upright and then may be straightened.
