Have you tried the Kurtzer Hybrid Maneuver (KHM)? This maneuver combines the Appiani, Casani, and Gufoni techniques into a single sequence, requiring 4 positions with the goal of addressing both horizontal canalithiasis and cupulolithiasis as well as both left and right horizontal canals, which is helpful in cases where the affected side is unclear. Step-by-Step Protocol (Please note that the clinician supports the patient’s head): Begin with patient seated on table edge. Have them lie down on t
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Have you tried the Kurtzer Hybrid Maneuver (KHM)? This maneuver combines the Appiani, Casani, and Gufoni techniques into a single sequence, requiring 4 positions with the goal of addressing both horizontal canalithiasis and cupulolithiasis as well as both left and right horizontal canals, which is helpful in cases where the affected side is unclear. Step-by-Step Protocol (Please note that the clinician supports the patient’s head): Begin with patient seated on table edge. Have them lie down on t
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