Is it necessary to include mastoid vibration with repositioning maneuvers?
• Maneuvers that effectively treat posterior canal benign paroxysmal positional vertigo (BPPV): • Canalith repositioning procedure (CRP) • Semont maneuver • Self-administered Brandt-Daroff or habituation exercises (insufficient evidence to recommend or refute) The following interventions were considered but not recommended (see the original guideline for specific context) • Self-administered Semont maneuver or CRP for posterior canal BPPV • Maneuvers that treat horizontal canal BPPV: • Lempert supine roll maneuver (barbecue roll) • Gufoni maneuver • Vanucchi–Asprella liberatory maneuver • Forced prolonged positioning • Maneuvers that treat anterior canal BPPV • Post-treatment activity restriction • Addition of mastoid vibration to maneuvers • Medications • Surgical treatment of posterior canal BPPV • Posterior semicircular canal occlusion • Singular neurectomy
