PMID: 9450824Feb 5, 1998Paper

Sac-vein decompression for intractable Meniere's disease: two-year treatment results

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
G J GianoliJ Wayman

Abstract

Surgical intervention has been offered to patients with Meniere's disease who have failed medical treatment and have disabling symptoms. Surgical options have included labyrinthectomy (mechanical and chemical), vestibular neurectomy, and endolymphatic sac surgery with or without shunting. We present a modification of endolymphatic sac decompression surgery that includes wide decompression of the sigmoid sinus, posterior cranial fossa dura, and endolymphatic sac (sac-vein decompression). Thirty-five patients underwent 37 primary procedures with 2 years of follow-up. Patients were evaluated according to the 1985 American Academy of Otolaryngology-Head and Neck Surgery criteria for assessing Meniere's disease. Vestibular symptom severity was resolved or mild in 92% and disability severity was none or mild in 95% of patients at 2 years after surgery. Vertigo control was complete or substantial in 85% and 100% of patients at 1 and 2 years after surgery. Audiologic data showed stable or improved hearing in 86% and 85% of patients at 1 and 2 years after surgery. In summary, wide decompression of the sigmoid sinus, posterior cranial fossa dura, and endolymphatic sac offers improved control of vertigo and hearing stabilization for intra...Continue Reading

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Citations

Feb 13, 1999·Comprehensive Therapy·P J Antonelli
Aug 1, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Myeong Sang YuJong Woo Chung
Aug 24, 2010·Current Opinion in Otolaryngology & Head and Neck Surgery·Aristides Sismanis
Aug 28, 2014·The Journal of Laryngology and Otology·R E RedfernA G Benson
Oct 26, 2010·Auris, Nasus, Larynx·Tadashi KitaharaHidenori Inohara
Nov 20, 2013·Acta Oto-laryngologica·Munehisa FukushimaHidenori Inohara
Jan 8, 2005·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Nebil GöksuIsmet Bayramoğlu
Feb 2, 2010·The Annals of Otology, Rhinology, and Laryngology·Fabrizio SalvinelliMaurizio Trivelli
Jun 22, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Isha TyagiRajan Syal
Jul 27, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Cyrille ConvertVincent Darrouzet
Sep 21, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Rodney C DiazWayne T Shaia
Apr 23, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Amit Justin SoodTed A Meyer
Jul 1, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tadashi KitaharaMasafumi Sakagami
Apr 9, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Gregory J BasuraErin M Buchanan

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