Abstract
This paper analyzes 339 consecutively performed endolymphatic mastoid sac shunts. Regardless of the method used, vertigo was controlled and hearing either improved or stabilized in approximately 70% of the cases. Overall, vertigo was controlled in approximately 80% of the cases. Similar results were obtained in cases of Meniere's syndrome and vestibular Meniere's disease. It is suggested here that, regardless of the method employed, there remains a high likelihood that the symptoms will recur, and the question is raised as to whether sac surgery may merely induce a temporary remission of the disease process. Consequently, it is hereby proposed that there is a need to devise a method to permanently drain the endolymph in order to more effectively control the disease on a permanent basis. Until this is achieved, however, sue surgery would appear to be the most appropriate surgical treatment for Meniere s disease.
Original language | English |
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Pages (from-to) | 1082-1086 |
Number of pages | 5 |
Journal | Laryngoscope |
Volume | 95 |
Issue number | 9 |
State | Published - 09 1985 |