Triple semicircular canal occlusion combined with endolymphatic sac decompression: An effective surgical strategy for vertigo control of intractable Meniere’s disease

Xie, Bingbin; Wang, Meiqun; Jiang, Yunxia; Xie, Wen; Zhang, Shaorong; Liu, Yuehui

doi:10.1111/coa.13852

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Xie et al . [59] in 2022 combined TSCO with ELS decompression and noted a vertigo control rate approaching 100% but with a lower hearing preservation rate possibly because of the inclusion of patients with preoperative nonserviceable hearing. Aural fullness was also notably diminished following surgery in nearly all patients.…”

Section: The Next Frontier: Emerging Surgical Directionsmentioning

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

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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.

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Section: The Next Frontier: Emerging Surgical Directionsmentioning

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

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“…Vertigo control rate was satisfactory in both groups; however, a lower rate of postoperative paroxysmal dizziness and unsteadiness was observed in the TSCO group. The limitation of TSCO is the small number of large studies associated with it, which were carried out by Chinese clinicians ( 5 , 6 ). Further research on the mechanism of TSCO and evidence-based studies are required.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Editorial: Intratympanic and surgical treatment for Meniere's disease

2022

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Full Endoscopic Resection of Intralabyrinthine Schwannomas: A Case Series

Sun

Chen

et al. 2023

Ear Nose Throat J

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Objective: To investigate the technique and efficacy of fully endoscope resection of intralabyrinthine schwannomas (ILS) by transcanal transpromontorial endoscopic approach (TTEA). Study Design: Retrospective case review. Setting: Hospital. Patients: All patients who were affected by ILS, without extension to the internal auditory canal and underwent surgery with TTEA in our hospital in 2020. Intervention(s): Therapeutic. Main Outcome Measure(s): Recovery status, postoperative complications and remaining symptoms after surgery. Results: Three patients were included, all of which underwent gross total resections. The follow-up period was from 10 months to 2 years. No intraoperative and postoperative major complications were observed. There was no facial paralysis or cerebrospinal fluid leakage postoperatively. The hospitalization time of TTEA was 5 days. Three patients’ vertigo was relieved after 1 week without receiving vestibular therapy. Only 1 patient complained of transient episodes of vertigo when climbing or holding heavy objects. Conclusions: TTEA has the advantages of clear vision to identify the anatomical structure, enabling complete tumor resection, reduced operation time, and faster postoperative recovery. Level of Evidence: IV

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Triple semicircular canal occlusion combined with endolymphatic sac decompression: An effective surgical strategy for vertigo control of intractable Meniere’s disease

Cited by 3 publications

References 9 publications

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

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

Editorial: Intratympanic and surgical treatment for Meniere's disease

Full Endoscopic Resection of Intralabyrinthine Schwannomas: A Case Series

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