scholarly journals Lateral Semicircular Canal Occlusion, Saccus Decompression And Cochlear Implantation: A New Approach For Refractory Menière's Disease And Functional Deafness

2018 ◽  
Author(s):  
G Doobe ◽  
A Ernst ◽  
I Todt ◽  
P Mittmann
Keyword(s):  
Semicircular Canal ◽  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Lateral Semicircular Canal ◽  
New Approach ◽  
Ménière's Disease ◽  
Semicircular Canal Occlusion

scholarly journals Triple Semicircular Canal Occlusion Combined with Endolymphatic Sac Decompression: An Effective Surgical Strategy for Vertigo Control of Intractable Meniere’s Disease

2021 ◽  
Author(s):  
Bingbin Xie ◽  
Meiqun Wang ◽  
Yunxia Jiang ◽  
Wen Xie ◽  
Shaorong Zhang ◽  
...  
Keyword(s):  
Semicircular Canal ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Endolymphatic Sac ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Equilibrium Function ◽  
Ménière's Disease ◽  
Semicircular Canal Occlusion

Objective: To investigate the symptomatic relief and functional preservation of a novel surgical strategy combined with triple semicircular canal occlusion and endolymphatic sac decompression in patients with intractable Meniere’s disease. Design: Retrospective analysis. Setting: Patients with intractable Meniere’s disease in the Department of Otolaryngology Head & Neck in the Second Affiliated Hospital of Nanchang University between July 2015 and June 2019. Participants: Data from 46 patients diagnosed with Meniere’s disease, and underwent surgery Methods: Triple semicircular canal occlusion combined with endolymphatic sac decompression was performed in all patients with intractable Meniere’s disease. Pre- and postoperative vertigo attacks, hearing levels, tinnitus, aural fullness, and equilibrium function rehabilitation were analyzed at defined time points during follow-up. Results: A significant vertigo control rate was observed in all patients postoperatively. The overall control rate of vertigo postoperatively was 100% in the entire follow-up, with a complete control rate of 97.8% and a substantial control rate of 2.2%. The rate of hearing preservation was 54.35%, and all patients suffering from hearing deterioration were at stages III and IV. The rate of tinnitus and aural fullness alleviation was 65.8% and 100%, respectively. Four patients failed to regain the equilibrium function postoperatively. Conclusion: Combining triple semicircular canal occlusion with endolymphatic sac decompression is an efficient strategy for vertigo control in patients with intractable Meniere’s disease. Patients in advanced stages suffered more from hearing function deterioration. Hearing preservation and tinnitus alleviation warrant further investigation.

Triple semicircular canal occlusion for the treatment of Ménière's disease

2008 ◽  
Vol 128 (7) ◽  
pp. 739-743 ◽  
Author(s):  
Shankai Yin ◽  
Zhengnong Chen ◽  
Dongzhen Yu ◽  
Yaqin Wu ◽  
Haibo Shi ◽  
...  
Keyword(s):  
Semicircular Canal ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease ◽  
Semicircular Canal Occlusion

scholarly journals Occlusion of the Lateral Semicircular Canal Through the External Ear Canal: A Case Report

2020 ◽  
pp. 014556132097195
Author(s):  
Enhao Wang ◽  
Bo Liu ◽  
Yi Wang ◽  
Wei Yao ◽  
Yu Sun
Keyword(s):  
Case Report ◽  
External Auditory Canal ◽  
Semicircular Canal ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Lateral Semicircular Canal ◽  
Ménière's Disease

This case report introduces a novel surgical procedure to occlude the lateral semicircular canal through the external auditory canal. The patient was a 64-year-old male with Ménière’s disease who had suffered from left ear vertigo accompanied by tinnitus for more than 4 years. He also suffered from paroxysmal vertigo, fluctuating hearing loss, tinnitus symptoms, and ear distension and tightness. The patient had been treated with dexamethasone injected into the tympanic cavity for 1 year, but his condition often recurred and could not be controlled. We developed a novel procedure using an endoscope to occlude the lateral semicircular canal through the external auditory canal to provide a surgical option for the treatment of Ménière's disease.

scholarly journals Vestibular Endolymphatic Hydrops Visualized by Magnetic Resonance Imaging and Its Correlation With Vestibular Functional Test in Patients With Unilateral Meniere's Disease

2021 ◽  
Vol 8 ◽  
Author(s):  
Yupeng Liu ◽  
Fan Zhang ◽  
Baihui He ◽  
Jingchun He ◽  
Qing Zhang ◽  
...  
Keyword(s):  
Semicircular Canal ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Head Impulse Test ◽  
Caloric Test ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Lateral Semicircular Canal ◽  
Ménière's Disease

Background: Currently, 3 Tesla-MRI following intratympanic gadolinium injection has made it possible to assess the existence and the severity of hydrops in each compartment of the endolymphatic spaces in vivo. However, the relationship between vestibular endolymphatic hydrops (EH) visualized by MRI and vestibular functional tests, especially the correlation between caloric test, video-head impulse test, and semicircular canal hydrops, has not been well-investigated.Objective: The purpose of this study is to investigate the relationship between the severity of EH in each compartment of otoliths and semicircular canal and the results of vestibular functional tests.Methods: In this retrospective study, we performed three-dimensional fluid-attenuated inversion recovery (3D-FLAIR) sequences following intratympanic gadolinium injection in 69 unilateral patients with definite Menière's disease. Vestibular and lateral semicircular canal hydrops was graded on MRI using a four grade criterion. All patients underwent pure-tone audiometry, cervical vestibular evoked myogenic potential (cVEMP), ocular vestibular evoked myogenic potential (oVEMP), caloric test and video head impulse test (vHIT). The latency, amplitude and asymmetry ratio of VEMP, canal paresis (CP) and vestibulo-ocular reflex (VOR) gain of lateral semicircular canal of vHIT were collected. The correlation analysis were performed between the parameters of function test and EH.Results: Vestibular EH showed correlations with the duration of disease (r = 0.360) and pure tone average (r = 0.326). AR of cVEMP showed correlations with Vestibular EH (r = 0.407). CP (r = 0.367) and VOR gain of lateral semicircular canal at 60 ms (r = 0.311) showed correlations with lateral semicircular canal hydrops.Conclusion: EH in different compartments is readily visualized by using 3D-FLAIR MRI techniques. The degree of vestibular EH correlated with AR of cVEMP and EH in the semicircular canal ampullar affects the caloric and vHIT response in patients with unilateral Meniere‘s disease.

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