The effectiveness of microsurgery for Meniere's disease

Authors

  • A. D. Gusakov State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine", Ukraine
  • V. V. Skorobogatyi State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine", Ukraine
  • A. A. Gusakova State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine", Ukraine
  • D. N. Kokorkin State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine", Ukraine
  • P. P. Shevluk State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine", Ukraine
  • N. A. Kolyada State institution "Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine", Ukraine

DOI:

https://doi.org/10.34287/MMT.2(49).2021.2

Abstract

Meniere's disease is a noninflammatory disease, manifested by episodes of dizziness, nystagmus reaction, vegetative disorders, static disturbances, hearing loss, tinnitus. The etiology and pathophysiology of this condition are not fully understood. However, it is based on an increase in endolymph production. To date, a large number of measures have been proposed to prevent the development of dizziness attacks. Starting from lifestyle changes, medical approaches, as well as surgical interventions. But far from always, even a combination of the above methods allows patients to reduce the number of episodes of dizziness, thereby improving the quality of life. At the Department of Otorhinolaryngology of the State Institution «Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine» microsurgical methods of treating this pathology are proposed. The operations of chordoplexusectomy and grommet of the tympanic membrane give a persistent positive clinical effect, which is confirmed in the longterm postoperative period in the observed patients.

References

Boyko N.V., Kolmakova T.S. The hormones content in the blood in Meniere's disease. Rossiyskaya otorinolaringologiya. 2014; 72 (5): 15–19.

Sagalovich B.M., Palchun V.T. Meniere's disease. M.: Medinformagentstvo, 1999, 525 s.

Ito T, Kitahara T, Inui H et al. Endolymphatic space size in patients with Meniere’s disease and healthy controls. Acta Otolaryngol. 2016; 136 (9): 879–882. DOI: 10.3109/00016489.2016.1169556.

Shimono M, Teranishi M, Yoshida T et al. Endolymphatic hydrops revealed by magnetic resonance imaging in patients with acute low tone sensorineural hearing loss. Otol Neurotol. 2013; 34 (7): 1241–1246. DOI: 10.1097/ MAO.0b013e3182990e81.

Kryukov A.I., Kunelskaya N.L., Garov YeV et al. Diagnostics of the endolymphatic hydrops. Vestnik otorinolaringologii. 2013; 2: 4–7.

Teranishi M, Yamazak M, Teranishi M et al. Endolymphatic hydrops and blood labyrinth barrier in Meniere’s disease. Acta Otolaryngol. 2011; 131 (5): 474–479. DOI: 10.3109/00016489.2010.534114.

Yamamoto M, Teranishi M, Naganawa S et al. Relationship between the degree of endolymphatic hydrops and electrocochleography. Audiol Neurootol. 2010; 15 (4): 254–260. DOI: 10.1159/000258681.

Okazaki Y, Yoshida T, Sugimoto S et al. Significance of endolymphatic hydrops in ears with unilateral sensorineural hearing loss. Otol Neurotol. 2017; 38 (8): 1076–1080. DOI: 10.1097/ MAO.0000000000001499.

Okumura T, Imai T, Takimoto Y et al. Assessment of endolymphatic hydrops and otolith function in patients with Meniere’s disease. Eur Arch Otorhinolaryngol. 2017; 274 (3): 1413–1421. DOI: 10.1007/s0040501644182.

Seo Y.J., Kim J, Choi J.Y., Lee W.S. Visualization of endolymphatic hydrops and correlation with audiovestibular functional testing in patients with definite Meniere’s disease. Auris Nasus Larynx. 2013; 40 (2): 167–172. DOI: 10.1016/j.anl.2012.07.009.

Shambaugh G, Glasscock М. Ear surgery. M.: Izdatelstvo Panfilova, 2015. Vol. 1, 416 p.

Shambaugh G, Glasscock М. Ear surgery. M.: Izdatelstvo Panfilova, 2015. Vol. 2, 448 p.

Kunelskaya N.L., Garov YeV., Sheremet A.S. et al. Surgical treatment options and its results in patients with peripheral vertigo of various origins. Meditsinskiy sovet. 2013; 7: 48–51.

Diab KhM, Lilenko S.V., Lilenko A.S. The longterm results of endolymphatic sac drainage in Meniere's disease patients. Otorinolaringologiya. Vostochnaya Yevropa. 2014; 14 (1): 818–89.

Кitahara T, Horii A, Imai T et al. Does endolymphatic sac decompression surgery prevent bilateral development of unilateral Meniere’s disease? Laryngoscope. 2014; 124 (8): 1932–1936. DOI: 10.1002/lary.24614.

Downloads

Published

2021-07-20

How to Cite

Gusakov, A. D. ., Skorobogatyi, V. V. ., Gusakova, A. A. ., Kokorkin, D. N. ., Shevluk, P. P. ., & Kolyada, N. A. . (2021). The effectiveness of microsurgery for Meniere’s disease. Modern Medical Technology, (2), 15–18. https://doi.org/10.34287/MMT.2(49).2021.2

Issue

Section

Original research