Endolymphatic Duct and Sac Decompression: A New Life for an Old Technique

Endolymphatic Duct and Sac Decompression: A New Life for an Old Technique

Ménière's disease is an inner ear disorder causing recurrent vertigo, hearing loss, and tinnitus. Diagnosis is based on the variability of the symptoms over time and absence of radiological abnormalities. Medical therapy is effective only in a small percentage of patients. Surgical strategies r...

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Bibliographic Details
Published in:Journal of International Advanced Otology Vol. 19; no. 6; pp. 511 - 516
Main Authors: Salvinelli, Fabrizio, Bonifacio, Francesca, Bigliardo, Carmen, Pierri, Michelangelo, Frari, Valeria, Greco, Fabio, Trivelli, Maurizio
Format: Journal Article
Language:English
Published: Turkey AVES 01-11-2023
Mediterranean Society for Otology and Audiology
European Academy of Otology and Neurotology and the Politzer Society
Subjects:
Decompression
Diuretics
Endolymphatic Duct - surgery
Endolymphatic Sac - surgery
Hearing loss
Humans
Meniere Disease - complications
Meniere Disease - surgery
Original
Otolaryngology
Pathology
Patients
Software
Surgeons
Surgery
Surgical techniques
Tinnitus
Vertigo
Vertigo - etiology
Vertigo - surgery
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Description
Summary:Ménière's disease is an inner ear disorder causing recurrent vertigo, hearing loss, and tinnitus. Diagnosis is based on the variability of the symptoms over time and absence of radiological abnormalities. Medical therapy is effective only in a small percentage of patients. Surgical strategies remain controversial. In this article, we revisit a surgical technique neglected over the years: endolymphatic sac surgery. Fifty-four patients affected by Ménière's disease underwent endolymphatic duct and sac decompression. According to the American Academy of Otolaryngology-Head and Neck Surgery criteria, vertigo control was evaluated with follow-up at 6 months, 1 year, and 2 years from the intervention. Hearing results were evaluated before the surgery and at 2 years of follow-up using the pure tone average. The results were compared with similar techniques of endolymphatic sac surgery described in the literature. According to the American Academy of Otolaryngology-Head and Neck Surgery criteria classification, 2 years after surgery, 87% patients achieved complete control of vertigo (class A). The hearing remained stable in 93.5% of patients. The results appear compatible with other publications data regarding endolymphatic sac surgeries. The duct and endolymphatic sac decompression allows the control of vertigo and preserves hearing from the pathological effects of Ménière's disease. The revised technique allows the functional restoration of endolymphatic homeostasis.
Bibliography:ORCID iDs of the authors: F.S. 0000-0003-0442-2596, F.B. 0000-0003-0121-4134, C.B. 0000-0002-4065-5410, M.P. 0000-0002-4741-0854, V.F. 0000-0003-1962-3366, F.G. 0000-0001-7520-2246, M.T. 0000-0002-0278-2697.
Cite this article as: Salvinelli F, Bonifacio F, Bigliardo C, et al. Endolymphatic duct and sac decompression: A new life for an old technique. J Int Adv Otol. 2023;19(6):511-516.
ISSN:1308-7649
2148-3817
DOI:10.5152/iao.2023.221025