Clinical Effect of Endolymphatic Sac Decompression Combined with One or Two Semicircular Canal Obstruction in the Treatment of Stage Ⅲ or Ⅳ Meniere Disease
10.3969/j.issn.1006-7299.2024.02.006
- VernacularTitle:内淋巴囊减压联合部分半规管填塞术治疗Ⅲ、Ⅳ期梅尼埃病的临床观察
- Author:
Guoping ZHANG
1
;
Nan WANG
;
Fen ZHANG
;
Jialin JIANG
;
Shuyi FENG
;
Yide ZHOU
Author Information
1. 中国人民解放军海军军医大学第一附属医院耳鼻咽喉头颈外科(上海 200433)
- Keywords:
Meniere disease;
Endolymphatic sac decompression;
Semicircular canal obstruction;
Verti-go
- From:
Journal of Audiology and Speech Pathology
2024;32(2):123-128
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect and hearing loss of endolymphatic sac decompression(ESD)combined with one or two semicircular canal obstruction(SCO)in treating the patient with stage Ⅲ or stageⅣ Meniere disease.Methods Forty-three patients with stage Ⅲ or stage Ⅳ Meniere disease,who failed to respond to conventional conservative treatment and had the expectation of preserving residual hearing function,were enrolled in the study.They were divided into three groups according to the operation they underwent:ESD combined with lateral and posterior semicircular canal obstruction(ESD+LPSCO)13 cases,ESD combined with lateral semicircu-lar canal obstruction(ESD+LPSCO)14 cases,and ESD only 16 cases.Data of vertigo,ear fullness and tinnitus be-fore and after operation was collected,analyzed and compared.Hearing function before and after the operation was also evaluated.Results The number of vertigo attacks in the three groups(ESD+LPSCO,ESD+LSCO,and ESD)were all significantly reduced after operation.The vertigo control rate were 92.3％,78.6％and 62.5％re-spectively.Compared with pre-operation,the vertigo severity post-operation in the three groups were also signifi-cantly reduced.And the improvement rate of vertigo severity after ESD+LPSCO and ESD+LSCO were both 100％,which were significantly higher than that of ESD(68.8％).The discomfort of tinnitus and ear fullness in the three groups were significantly improved compared with that of pre-operation.The improvement rates of tinnitus in the three groups were 46.2％,50.0％and 43.8％respectively,with no significant difference.The improvement rate of ear fullness in the three groups were 61.5％,57.1％and 50.0％respectively,with no significant difference either.The proportion of patients with decreased hearing after operation in the three groups was 15.4％,7.1％and 18.8％,respectively,and the differences were insignificant.Conclusion ESD combined with one or two SCO can effectively control vertigo and other symptoms of patients with stage Ⅲ or Ⅳ Meniere's disease who had failure to conventional conservative treatment,and can preserve the residual hearing function in considerable extent.
