scholarly journals Combined Vestibular Neurectomy and Endolymphatic sac Shunt via the Retrosigmoid Approach in the Treatment of Ménière's Disease

2000 ◽  
Vol 79 (8) ◽  
pp. 571-575 ◽  
Author(s):  
José Antonio Rivas ◽  
José Eduardo Guzmán
1994 ◽  
Vol 73 (10) ◽  
pp. 764-767 ◽  
Author(s):  
Jose Antonio Rivas

Surgical treatment is used only for patients with Meniere's disease in cases that do not respond to medical therapy. At the present time, the endolymphatic sac shunt operation is performed in cases where the auditory threshold is fluctuant around 30 dB. When the auditory threshold is between 40 and 70 dB we use the vestibular neurectomy by the retrosigmoid approach. In patients with Meniere's disease with profound hearing loss the translabyrinthine neurectomy is used. The advantages of the vestibular neurectomy by the retrosigmoid approach compared to the retrolabyrinthine and middle fossa approaches will be described.


Author(s):  
Edoardo Porto ◽  
J. Manuel Revuelta Barbero ◽  
Eduardo Medina ◽  
Tomas Garzon-Muvdi ◽  
Douglas E. Mattox ◽  
...  

1982 ◽  
Vol 90 (4) ◽  
pp. 470-481 ◽  
Author(s):  
Masaaki Kitahara ◽  
Taizo Takeda ◽  
Yoshiro Yazawa ◽  
Hideharu Matsubara ◽  
Hitoshi Kitano

Experimental hydrops caused by underabsorption of endolymphatic fluid is a model of remissional stage of Meniere's disease. In this study, another type of model, ie, hydrops caused by overproduction of endolymphatic fluid, was accomplished by applying various pressures into scala media through a micropipette via stria vascularis. This type of hydrops could be a model of attacks of Meniere's disease. By using two types of the model, effects of glycerol administration and of opening the endolymphatic sac were discussed.


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