Ultrasound treatment of Meniere's disease. Long-term follow-up of 356 advanced cases.
Twelve years' experience of ultrasound treatment of 356 patients is presented. For evaluating the results a new multifacetted scoring system was developed, where each individual patient was evaluated on the basis of four parameters. According to this evaluation 71% of the patients improved after the operation, while 29% remained unchanged or deteriorated. Because of lack of improvement, 42 patients underwent reoperation by different methods; in half of them ultrasonic irradiation was again used. The hearing deteriorated in about 40% of the patients, to which result the long observation times also contributed. The caloric response became reduced in 70% of the patients. Marked depression of the caloric response characterized the patients who were relieved of vertigo. Transient facial paralysis in 4 patients was the only complication.
D000328:Adult; D000368:Aged; D002150:Caloric Tests; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006320:Hearing Tests; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000628:therapy*; D008875:Middle Aged; D014464:Ultrasonic Therapy / Q000009:adverse effects