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...

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Main Authors: Maia, Francisco Carlos Zuma e, Dolganov, Alexandre, Lavinsky, Luiz
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2011-10-01
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.
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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
work_keys_str_mv AT maiafranciscocarloszumae surgicaltreatmentofmenierediseasevialabyrinthshuntpastandpresent
AT dolganovalexandre surgicaltreatmentofmenierediseasevialabyrinthshuntpastandpresent
AT lavinskyluiz surgicaltreatmentofmenierediseasevialabyrinthshuntpastandpresent