Endolymphatic sac surgery for Ménière's disease: a systematic review and meta-analysis
AJ Sood, PR Lambert, SA Nguyen… - Otology & …, 2014 - journals.lww.com
… Endolymphatic sac surgery (sac decompression or mastoid shunt) is effective at
controlling vertigo in the short term (>1 yr of follow-up) and long term (>24 mo) in at least 75%
of patients with Ménière’s disease who have failed medical therapy. Sac decompression
and mastoid shunting techniques provide similar vertigo control rates. Mastoid shunting,
with and without silastic, also provides similar vertigo control rates. Non-use of silastic,
however, seems to maintain stable or improved hearing in more patients compared to …
controlling vertigo in the short term (>1 yr of follow-up) and long term (>24 mo) in at least 75%
of patients with Ménière’s disease who have failed medical therapy. Sac decompression
and mastoid shunting techniques provide similar vertigo control rates. Mastoid shunting,
with and without silastic, also provides similar vertigo control rates. Non-use of silastic,
however, seems to maintain stable or improved hearing in more patients compared to …
Abstract
Objective
To analyze current endolymphatic surgery techniques and quantify their efficacy in controlling vertigo and maintaining hearing in the short and long term.
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