Surgical treatment of Meniere disease via labyrinth Shunt: Past and present
Introduction: The surgerys of the endolymphatic shunt are employed in the treatment of the vertigo of Meniere disease disabling, remains a controversial topic. Portmann in 1926, was the first to perform the surgery, incising the endolymphatic sac aimming the decrease of the endolymphatic pressure of...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Thieme Revinter Publicações Ltda.
2011-10-01
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Series: | International Archives of Otorhinolaryngology |
Subjects: | |
Online Access: | http://www.internationalarchivesent.org/conteudo/acervo_eng.asp?id=814 |
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author | Maia, Francisco Carlos Zuma e Dolganov, Alexandre Lavinsky, Luiz |
author_facet | Maia, Francisco Carlos Zuma e Dolganov, Alexandre Lavinsky, Luiz |
author_sort | Maia, Francisco Carlos Zuma e |
collection | DOAJ |
description | Introduction: The surgerys of the endolymphatic shunt are employed in the treatment of the vertigo of Meniere disease disabling, remains a controversial topic. Portmann in 1926, was the first to perform the surgery, incising the endolymphatic sac aimming the decrease of the endolymphatic pressure of the inner ear. Planned to create a fistula that connects the endo and perilymphatic space, the sacculotomy were described by Fick in 1964, by Cody in 1969 e by Schuknecht (cochleosacculotomy) in 1982, however they were gradually abandoned because of the high incidence of hearing loss. A new and promising surgery option of shunt, still experimental is utriculostomy, performed by LAVINSKY in 1999. Objective: Make a review of literature about the main surgical techniques of endolymphatic shunt, used in the treatment of Meniere disease, its results and the advance in the understanding of these procedures. Methods: Based on the literature data, the main surgical techniques of endolymphatic shunt are discussed and its rationality in the treatment of Meniere's disabling disease. Conclusion: There are a lot of controversy over the effectiveness of surgical procedures of endolymphatic shunt for the treatment of Meniere's disabling disease, and a lot of them damage the inner ear. The experimental surgery of utriculostomy, so it seems, a promising option. Future research can give an answer to this matter. |
first_indexed | 2024-12-21T10:38:08Z |
format | Article |
id | doaj.art-970e63cd28c54b4f9308a9c122e4e26a |
institution | Directory Open Access Journal |
issn | 1809-9777 1809-4864 |
language | English |
last_indexed | 2024-12-21T10:38:08Z |
publishDate | 2011-10-01 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | Article |
series | International Archives of Otorhinolaryngology |
spelling | doaj.art-970e63cd28c54b4f9308a9c122e4e26a2022-12-21T19:07:01ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642011-10-01154501508Surgical treatment of Meniere disease via labyrinth Shunt: Past and presentMaia, Francisco Carlos Zuma eDolganov, AlexandreLavinsky, LuizIntroduction: The surgerys of the endolymphatic shunt are employed in the treatment of the vertigo of Meniere disease disabling, remains a controversial topic. Portmann in 1926, was the first to perform the surgery, incising the endolymphatic sac aimming the decrease of the endolymphatic pressure of the inner ear. Planned to create a fistula that connects the endo and perilymphatic space, the sacculotomy were described by Fick in 1964, by Cody in 1969 e by Schuknecht (cochleosacculotomy) in 1982, however they were gradually abandoned because of the high incidence of hearing loss. A new and promising surgery option of shunt, still experimental is utriculostomy, performed by LAVINSKY in 1999. Objective: Make a review of literature about the main surgical techniques of endolymphatic shunt, used in the treatment of Meniere disease, its results and the advance in the understanding of these procedures. Methods: Based on the literature data, the main surgical techniques of endolymphatic shunt are discussed and its rationality in the treatment of Meniere's disabling disease. Conclusion: There are a lot of controversy over the effectiveness of surgical procedures of endolymphatic shunt for the treatment of Meniere's disabling disease, and a lot of them damage the inner ear. The experimental surgery of utriculostomy, so it seems, a promising option. Future research can give an answer to this matter.http://www.internationalarchivesent.org/conteudo/acervo_eng.asp?id=814Meniere diseasevertigoendolymphatic sac |
spellingShingle | Maia, Francisco Carlos Zuma e Dolganov, Alexandre Lavinsky, Luiz Surgical treatment of Meniere disease via labyrinth Shunt: Past and present International Archives of Otorhinolaryngology Meniere disease vertigo endolymphatic sac |
title | Surgical treatment of Meniere disease via labyrinth Shunt: Past and present |
title_full | Surgical treatment of Meniere disease via labyrinth Shunt: Past and present |
title_fullStr | Surgical treatment of Meniere disease via labyrinth Shunt: Past and present |
title_full_unstemmed | Surgical treatment of Meniere disease via labyrinth Shunt: Past and present |
title_short | Surgical treatment of Meniere disease via labyrinth Shunt: Past and present |
title_sort | surgical treatment of meniere disease via labyrinth shunt past and present |
topic | Meniere disease vertigo endolymphatic sac |
url | http://www.internationalarchivesent.org/conteudo/acervo_eng.asp?id=814 |
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