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In a small percentage of posterior canalithiasis BPPV patients, the standard modified Epley Maneuver fails. Why is that? Arán-Tapia et al. (2024) identified a few potential reasons: 30-second rest periods may be insufficient for smaller otoconia particles Standard angles in Step 3 show a high failure probability in simulations Final positioning often leaves particles in the posterior ampulla rather than the utricle The Modification of the modified Epley Maneuver, based on computer simulation dat
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