Evaluation of vestibular function following endolymphatic sac surgery

Gendre, Adrien; Bourget-Aguilar, Kinnie; Calais, C.; Espitalier, F.; Bordure, Philippe; Michel, Guillaume

doi:10.1007/s00405-021-06743-3

Cited by 3 publications

(4 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All in all, the follow-up duration of the study at hand (19.7 ± 17.2 months) is on the lower range of reports from the literature, where follow-up results from 12 months to 9 years are given (Table 4 ). Gender was similarly distributed as in most studies [ 27 – 30 ]. More than half of the studies focused on hearing preservation, as well, without presenting detailed information on the audiograms of the investigated cohort.…”

Section: Discussionsupporting

confidence: 60%

“…Not a single patient in the reported cohort exhibited postoperative complications and bone conduction thresholds remained stable. To our knowledge, this is the second study investigating the effect of endolymphatic sac surgery on patients diagnosed with MD according to the current diagnostic criteria from 2015 [ 27 ]. All patients received a detailed history and diagnostic workup ruling out vestibular migraine, vestibular neurinoma, vestibular paroxysm, autoimmune inner ear disorder, and other differential diagnoses.…”

Section: Discussionmentioning

confidence: 99%

“…Only two other recent publications presented pre- and postoperative results from caloric testing. Kim et al investigated the peripheral vestibular function via caloric testing and found no significant of changes pre- to postoperative values [ 37 ], as well as the researchers around Gendre et al who in addition observed no postoperative value changes in vestibular evoked myogenic potentials and video head impulse test [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Vestibular and audiometric results after endolymphatic mastoid shunt surgery in patients with Menière’s disease

Spiegel

Stoycheva

Weiss

et al. 2022

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose Treatment of Menière’s Disease (MD) comprises an array of both non-destructive and destructive treatment options. In patients who are therapy–refractory to non-destructive medical treatment, endolymphatic mastoid shunt surgery (EMSS) is both recommended and debated controversially. The aim of this study was to investigate safety in terms of hearing, vestibular function, complication rate, and efficacy with regards to vertigo control of EMSS in patients with MD according to the current diagnostic criteria of 2015. Methods Retrospective analysis of 47 consecutive patients with definite or probable MD with description of demographic parameters, pre- and postoperative MD treatment, pre- and postoperative audiometric (pure tone audiometry) and vestibular (caloric testing) results. The parameters were compared between patients with and without postoperative vertigo control. Results 31/47 patients (66.0%) had improved vertigo control postoperatively. Postoperative hearing and vestibular preservation were predominantly stable. No significant differences between patients with improved vertigo control and patients with no change or worse vertigo episodes were found. In the treatment refractory group, 4 patients required a revision EMSS and 6 a destructive MD treatment (5 gentamicin intratympanically, 1 labyrinthectomy). No peri- or postsurgical complications were reported. Conclusions EMSS was found to be beneficial in two thirds of the patients with definite or probable Morbus Menière and a safe procedure regarding hearing and vestibular preservation with no postoperative complications. Therefore, EMSS should be considered before inducing destructive treatment options, such as intratympanic gentamicin application or labyrinthectomy.

show abstract

Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vestibular and audiometric results after endolymphatic mastoid shunt surgery in patients with Menière’s disease

Spiegel

Stoycheva

Weiss

et al. 2022

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…ELS surgery is a well tolerated and effective first-line surgical option in Meniere's disease – vestibular function is not decreased when evaluating caloric responses, vestibular-evoked myogenic potential (VEMP) responses, or video head impulse testing (VHIT), despite a decrease in vertigo episodes, and quality-of-life scores are positively associated with surgery [46]. Audiometric measures also appear to be stable following surgery [47].…”

Section: Endolymphatic Sac Surgery: Unparalleled Controversymentioning

confidence: 99%

Recent surgical advances and continued controversies in medically refractory Meniere's disease

Lucas

Hong

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of reviewMeniere's disease is caused by hydropic changes in the endolymphatic system, and manifests as a collection of vertigo, hearing loss, tinnitus, and aural fullness. Although high-quality clinical practice guidelines exist for the diagnosis and initial management of Meniere's disease, there is no strong consensus for treatment of medically refractory Meniere's disease. This review summarizes treatment options and highlights controversies surrounding surgical treatment of Meniere's disease. Recent findingsIntratympanic steroid and intratympanic gentamicin injections continue to be widely used as in-office therapies in medically refractory Meniere's disease. Despite historical controversy surrounding the use of endolymphatic sac (ELS) surgery, the use of ELS decompression has been widely adopted by the international neurotologic community due to high vertigo control rate, coupled with low risk of audiovestibular loss. Wider decompression of the sac and surgical manipulation of the endolymphatic duct may impact outcome and are the subject of discussion. An emerging surgical technique called Triple Semicircular Canal Occlusion (TSCO) holds promise as a partially ablative procedure with high vertigo control rate in Meniere's disease. Cochlear implants may be placed in active Meniere's disease patients, or during an ablative surgery such as labyrinthectomy.

show abstract