Lateral semicircular canal plugging with endolymphatic sac decompression as new surgical treatment for intractable Meniere's disease

Goto, F; Tsutsumi, Tomoko; Ogawa, Kaoru

doi:10.3109/00016489.2012.663932

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…Similar conclusions can be drawn for diuretics, also prescribed by 63% of the surgeons in the UK for Ménière's disease [Smith et al, 2005] despite the lack of evidence of their effectiveness and the important burden of evidence of their side effects, particularly during long-term treatment [Pirmohamed et al, 2004;Pirodda et al, 2011]. Endolymphatic sac surgery also seems not to have any significant effects in the majority of the treated population with Ménière's disease, although new techniques have shown some positive results [Goto et al, 2012], but again, its side effects may be underestimated [Xu et al, 2011]. Intratympanic steroids, despite the small population included in the trial (only 22 individuals), have been shown to be an effective treatment, with improvement of the frequency and severity of vertigo lasting for over 2 years [Phillips and Westerberg, 2011].…”

Section: Discussionsupporting

confidence: 52%

Ménière's Disease Treatment: A Patient-Centered Systematic Review

Tassinari¹,

Mandrioli

Gaggioli

et al. 2015

Audiol Neurotol

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Ménière's disease is a disorder of the inner ear affecting hearing and balance to a varying degree. It is characterized by episodes of vertigo, low-pitched tinnitus, and hearing loss. There is currently no gold standard treatment for Ménière's disease. We conducted a systematic search of the Cochrane Database, as a high-quality source of evidence-based therapies, for reviews on the efficacy of etiological therapy or on Ménière's disease or its symptoms. Following recent positive experiences reported by other research teams, we decided to involve a patients' representative in the assessment and analysis of the evidence retrieved in the literature in order to achieve a more patient-centered evaluation of the therapies. Evidence confirms that an effective treatment of Ménière's disease is still missing, but recent discoveries on the microvascular etiology of Ménière's disease may be assimilated by new evidence-based therapeutic approaches.

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Section: Discussionsupporting

confidence: 52%

Ménière's Disease Treatment: A Patient-Centered Systematic Review

Tassinari¹,

Mandrioli

Gaggioli

et al. 2015

Audiol Neurotol

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“…They observed a resolution of vertigo episodes in 64.5% of their patients, with improved hearing in 14.8% of them. Goto et al17 and Kim et al18 reported similar results for vertigo control in recent years.…”

Section: Review Of the Literaturementioning

confidence: 61%

Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review

García

Segura

Lesser

et al. 2017

Int Arch Otorhinolaryngol

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Introduction The endolymphatic sac is thought to maintain the hydrostatic pressure and endolymph homeostasis for the inner ear, and its dysfunction may contribute to the pathophysiology of Ménière's disease. Throughout the years, different surgical procedures for intractable vertigo secondary to Ménière's disease have been described, and though many authors consider these procedures as effective, there are some who question its long-term efficacy and even those who think that vertigo control is achieved more due to a placebo effect than because of the procedure itself. Objective To review the different surgical procedures performed in the endolymphatic sac for the treatment of Ménière's disease. Data Sources PubMed, MD consult and Ovid-SP databases. Data Synthesis We focus on describing the different surgical procedures performed in the endolymphatic sac, such as endolymphatic sac decompression, endolymphatic sac enhancement, endolymphatic sac shunting and endolymphatic duct blockage, their pitfalls and advantages, their results in vertigo control and the complication rates. The senior author also describes his experience after 30 years of performing endolymphatic sac surgery. Conclusions The endolymphatic sac surgery, with all its variants, is a good option for patients with incapacitating endolymphatic hydrops, providing a high percentage of vertigo control and hearing preservation.

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“…Endolymphatic sac decompression can minimize potential inner ear damage, including aggravation of endolymphatic effusions, due to increased pressure in the long-term resulting from plugging of semicircular canals ( 31 ). TSCO can block signal conduction in the vertigo conduction pathway and enhance vertigo control.…”

Section: Discussionmentioning

confidence: 99%

Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease

Tian,

Yin,

Zhang

et al. 2024

Front. Neurol.

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BackgroundMeniere’s disease (MD) is characterized by idiopathic endolymphatic hydrops (ELH). Frequent vertigo attacks is the most disabling symptom of MD.ObjectiveThis study evaluated the efficacy of triple semicircular canal occlusion combined with endolymphatic sac decompression in the treatment of frequent vertigo in patients with MD.MethodsEleven patients with complete medical records were included in this study conducted from May 2021 to April 2022. All patients were enrolled to undergo triple semicircular canal occlusion (TSCO) with endolymphatic sac decompression (ESD). Various tests including pure tone audiometry (PTA), vestibular evoked myogenic potentials (VEMPs), the video head impulse test (v-HIT), caloric test data, the Dizziness Handicap Inventory (DHI), the Berg Balance Scale (BBS), and the Tinnitus Handicap Inventory (THI) were performed both before and after the surgery.ResultsThe successful control rate of vertigo was 100% (9/9) in the average 23-month postoperative follow-up period, with complete control rate of 88.89% (8/9) and substantial control rate of 11.11% (1/9).ConclusionTriple semicircular canal occlusion combined with ESD may be an effective treatment option for managing frequent vertigo attacks in patients with MD. This combination therapy has the potential to become a significant addition to the treatment framework for MD.

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Lateral semicircular canal plugging with endolymphatic sac decompression as new surgical treatment for intractable Meniere's disease

Abstract: The attack of Meniere's disease was completely controlled and the hearing threshold did not change after the surgery for 2 years. Obliteration of the horizontal canal was confirmed by MRI.

Cited by 7 publications

References 5 publications

Ménière's Disease Treatment: A Patient-Centered Systematic Review

Ménière's Disease Treatment: A Patient-Centered Systematic Review

Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review

Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease

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