Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-13T01:55:41.713Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical study of tympanostomy tube placement for patients with intractable Ménière's disease

Published online by Cambridge University Press:  30 January 2015

Y Ogawa ,
K Otsuka ,
A Hagiwara ,
A Inagaki ,
S Shimizu ,
N Nagai ,
S Itani ,
Y Saito  and
M Suzuki
Y Ogawa*
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
K Otsuka
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
A Hagiwara
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
A Inagaki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Shimizu
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
N Nagai
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Itani
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
Y Saito
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
M Suzuki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
*
Address for correspondence: Dr Y Ogawa, Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan E-mail: y-ogawa8@tokyo-med.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate the effectiveness of tympanostomy tube placement in controlling symptoms of intractable Ménière's disease.

Methods:

Fifteen patients with intractable Ménière's disease underwent tympanostomy tube placement in the affected ear. Post-operative changes in vertigo attacks and hearing level were recorded, and were evaluated according to American Academy of Otolaryngology–Head and Neck Surgery criteria.

Results:

At 12 months after treatment, 3 patients (20 per cent) showed complete control of vertigo, 7 (47 per cent) showed substantial control and 2 (13 per cent) showed limited control; 3 patients (20 per cent) required other treatment. At 24 months after treatment, 7 patients (47 per cent) showed complete control of vertigo, 3 (20 per cent) showed substantial control and 1 (7 per cent) showed limited control; 1 patient required other treatment 15 months after tympanostomy tube placement.

Conclusion:

There is no definite pathophysiological explanation for the effect of tympanostomy tube placement in reducing vertigo attacks. This treatment is not effective for all patients with intractable Ménière's disease. However, tympanostomy tube placement might be an additional surgical therapeutic option to consider prior to contemplating other, more invasive treatments.

Keywords

Middle Ear VentilationVertigoDizzinessMeniere's SyndromeEndolymphatic Hydrops
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 2 , February 2015 , pp. 120 - 125
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Montandon, P, Guillemin, P, Häusler R. Prevention of vertigo in Ménière's syndrome by means of transtympanic ventilation tubes. ORL J Otorhinolaryngol Relat Spec 1988;50:377–81Google Scholar
2Thomsen, J, Bonding, P, Becker, B, Stage, J, Tos, M. The non-specific effect of endolymphatic sac surgery treatment of Ménière's disease. Acta Otolaryngol 1998;118:769–73Google Scholar
3Committee on Hearing and Equilibrium. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere's disease. Otolaryngol Head Neck Surg 1995;113:181–5Google Scholar
4Tumarkin, A. Thoughts on the treatment of labyrinthopathy. J Laryngol Otol 1966;80:1041–53Google Scholar
5Lall, M. Meniere's disease and the grommet (survey of its therapeutic effects). J Laryngol Otol 1969;83:787–91Google Scholar
6Cinnamond, MJ. Eustachian tube function in Menière's disease. J Laryngol Otol 1975;89:57–61Google Scholar
7Hall, M, Brackmann, DE. Eustachian tube blockage and Meniere's disease. Arch Otolaryngol 1977;103:355–7Google Scholar
8Sugawara, K, Kitamura, K, Ishida, T, Sejima, T. Insertion of tympanic ventilation tubes as a treating modality for patients with Meniere's disease: a short- and long-term follow-up study in seven cases. Auris Nasus Larynx 2003;30:25–8Google Scholar
9Park, JJ, Chen, YS, Westhofen, M. Meniere's disease and middle ear pressure: vestibular function after transtympanic tube placement. Acta Otolaryngol 2009;129:1408–13Google Scholar
10Perez-Garrigues, H, Lopez-Escamez, JA, Perez, P, Sanz, R, Orts, M, Marco, J et al. Time course of episodes of definitive vertigo in Meniere's disease. Arch Otolaryngol Head Neck Surg 2008;134:1149–54Google Scholar
11Pickard, BH. The prognosis in Ménière's disease. Proc R Soc Med 1967;60:968–9Google Scholar
12Kimura, RS, Hutta, J. Inhibition of experimentally induced endolymphatic hydrops by middle ear ventilation. Eur Arch Otorhinolaryngol 1997;254:213–8Google Scholar