Tenotomy of the middle ear muscles causes a dramatic reduction in vertigo attacks and improves audiological function in definite Meniere's disease

Abstract

A statistically significant improvement of inner ear hearing levels postoperatively (p = 0.041) and a major reduction in vertigo attacks in all groups (p < 0.001) with complete absence of attacks in 26/30 patients was noted. Results remained constant up to 9 years postoperatively. Although tinnitus persisted, the intensity was lower overall (p = 0.013).

Prognostic implications of and audiometric evidence for hearing fluctuation in Meniere's disease

“…One of the difficulties of interpreting studies that purport to demonstrate hearing improvement with respect to various treatments and Meniere's disease [8][9][10][11][12][13][14][15][16] is the relatively limited understanding that exists of the extent and frequency of hearing fluctuations in Meniere's disease. 4,5 Providing normative metrics of hearing fluctuations in Meniere's disease will aid in distinguishing Meniere's disease-related fluctuation from treatment-related hearing changes.…”

Feasibility of Endoscopic Treatment of Middle Ear Myoclonus: A Cadaveric Study

“…In this technique, the tympanic membrane is sharply separated from the malleus, exposing the area anterior to the manubrium. Loader et al also report raising an anterior tympanomeatal flap for exposure of the tendon and its transection [15]. …”

The modern view of the clinical significance of tensor tympani muscle

“…Заслуживает внимания идея пересечения сухожилий стременной мышцы и MTT для облегчения течения бо-лезни Меньера: тенотомия (рассечение сухожилия) мышц среднего уха исключает рефлекторное сокращение, что позволяет цепи слуховых косточек колебаться свободнее и таким образом уменьшает усугубление гидропса лаби-ринта [14]. B. Loader и соавт.…”

“…Привлекательность операции заключается в отсут-ствии прямого разрушающего воздействия на лабиринт; во всяком случае, негативный эффект не описан [14].…”