Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review
Abstract 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 intractab...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2017-03-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1599276 |
| _version_ | 1819083245395902464 |
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| author | Maria de Lourdes Flores García Carolina de la Llata Segura Juan Carlos Cisneros Lesser Carlo Pane Pianese |
| author_facet | Maria de Lourdes Flores García Carolina de la Llata Segura Juan Carlos Cisneros Lesser Carlo Pane Pianese |
| author_sort | Maria de Lourdes Flores García |
| collection | DOAJ |
| description | Abstract
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. |
| first_indexed | 2024-12-21T20:29:30Z |
| format | Article |
| id | doaj.art-6376298c3b5e4111b4e22d5c9ae8d157 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-21T20:29:30Z |
| publishDate | 2017-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-6376298c3b5e4111b4e22d5c9ae8d1572022-12-21T18:51:17ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642017-03-01210217918310.1055/s-0037-1599276Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature ReviewMaria de Lourdes Flores García0Carolina de la Llata Segura1Juan Carlos Cisneros Lesser2Carlo Pane Pianese3Otorhinolaryngology Department, Grupo Otológico Médica Sur, México, DF, MexicoOtorhinolaryngology Department, Grupo Otológico Médica Sur, México, DF, MexicoOtorhinolaryngology and Neurotology Department, Instituto Nacional de Rehabilitación, México, DF, MexicoOtorhinolaryngology and Neurotology, Grupo Otológico Médica Sur, Neurociencias Clínicas e Investigación, Ciudad de México, DF, MexicoAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1599276endolymphatic mastoid shuntendolymphatic sac decompressionendolymphatic sac drainageendolymphatic sac surgeryménière's disease. |
| spellingShingle | Maria de Lourdes Flores García Carolina de la Llata Segura Juan Carlos Cisneros Lesser Carlo Pane Pianese Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review International Archives of Otorhinolaryngology endolymphatic mastoid shunt endolymphatic sac decompression endolymphatic sac drainage endolymphatic sac surgery ménière's disease. |
| title | Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review |
| title_full | Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review |
| title_fullStr | Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review |
| title_full_unstemmed | Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review |
| title_short | Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review |
| title_sort | endolymphatic sac surgery for meniere s disease current opinion and literature review |
| topic | endolymphatic mastoid shunt endolymphatic sac decompression endolymphatic sac drainage endolymphatic sac surgery ménière's disease. |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1599276 |
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