The effect of surgical removal of the extraosseous portion of the endolymphatic sac in patients suffering from Menière's disease

The Journal of Laryngology and Otology
W P Gibson

Abstract

Between April 1990 and June 1996, the extraosseous portion of endolymphatic sac has been removed from the affected ear in 77 patients suffering from Menière's disease. Removal of the extraosseous part of the endolymphatic sac without any drainage procedure did not increase the frequency or severity of the attacks of vertigo in any patient. The results of 43 patients with unilateral disease who had a follow-up period of two years are presented. Only eight of the patients had more than two recurrent attacks of vertigo lasting over two minutes within the two years after the surgery, and in three of these patients the severity of the attacks was greatly reduced. In 56 per cent of the operated ears, the hearing deteriorated at least 10 dBHL across five audiometric frequencies (250 Hz, 500 Hz, 1 kHz, 2 kHz and 3 kHz). To the author, endolymphatic sac removal appeared to provide better relief from vertigo than a simple drainage procedure with less tendency for recurrence several months or years after the initial surgery. At present, the statistical analysis of the results shows no significant difference between removal of the extraosseous portion of the endolymphatic sac and the "so called' endolymphatic sac drainage procedures.

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Citations

Feb 27, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·George M BrinsonMoisés A Arriaga
Nov 20, 2013·Acta Oto-laryngologica·Munehisa FukushimaHidenori Inohara
Dec 16, 2005·Acta Oto-laryngologica·Haralampos GouverisWolf J Mann
Apr 22, 2011·Journal of Clinical Nursing·Susan Holmes, Nigel D Padgham
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 10, 1999·Clinical Otolaryngology and Allied Sciences·R A Adair, A G Kerr
Oct 19, 2016·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Yuan ZhangAi-Guo Liu

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