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Endolymphatic sac drainage for the treatment of Ménière's disease

Published online by Cambridge University Press:  15 December 2016

R F Bento ,
J C Cisneros  and
A C De Oliveira Fonseca
R F Bento
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Hospital das Clínicas, University of São Paulo, Brazil
J C Cisneros*
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Hospital das Clínicas, University of São Paulo, Brazil
A C De Oliveira Fonseca
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Hospital das Clínicas, University of São Paulo, Brazil
*
Address for correspondence: Dr Juan Carlos Cisneros Lesser, Otorhinolaryngology Department, Hospital das Clínicas, University of São Paulo Faculty of Medicine, Room 6167, 6th floor, Av. Dr. Enéas de Carvalho Aguiar, 255, São Paulo, Brazil, 05403-000 E-mail: juancarloscisneros@me.com
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Abstract

Objective:

To describe the results obtained with endolymphatic sac drainage in patients with Ménière's disease.

Method:

A retrospective case review study was conducted of 95 Ménière's disease patients who underwent endolymphatic sac drainage in a tertiary care referral centre, after failing a long course of medical management. The main outcome measures were vertigo control and hearing preservation.

Results:

In patients with unilateral disease, vertigo control was obtained in 94.3 per cent of patients. A significant improvement in cochlear function was seen in 14 per cent of patients, and hearing was preserved or improved in 88 per cent. For the bilateral group, vertigo control was obtained in 85.7 per cent of patients and cochlear function improved in 28 per cent. Hearing preservation was attained in 71 per cent of these patients.

Conclusion:

Endolymphatic sac drainage is a good surgical option for patients with incapacitating endolymphatic hydrops, providing a high percentage of vertigo control and hearing preservation.

Keywords

Endolymphatic ShuntEndolymphatic SacEndolymphatic DuctMeniere DiseaseEndolymphatic Hydrops
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 2 , February 2017 , pp. 144 - 149
Copyright
Copyright © JLO (1984) Limited 2016 

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