title: Cochleosacculotomy for the treatment of Menière's disease in the elderly patient.
abstract: Cochleosacculotomy is a surgical option for the treatment of incapacitating vertigo in elderly patients with Menière's disease. This procedure was performed in nine patients (mean age: 73 years) for control of vertigo and/or drop attacks. The average follow-up period was 29 months. Vertigo was controlled in eight of nine patients, but hearing worsened in all but one patient. No patient developed a transient increase in vertigo in the postoperative period. Cochleosacculotomy should be considered in elderly patients with recurrent vertigo and severe non-fluctuating sensorineural hearing loss who would otherwise be candidates for labyrinthectomy.
authors.affiliation: Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: W C
authors.initials: WC
authors.lastname: Kinney
authors.forename: N
authors.initials: N
authors.lastname: Nalepa
authors.forename: G B
authors.initials: GB
authors.lastname: Hughes
authors.forename: S E
authors.initials: SE
authors.lastname: Kinney
mesh_terms: D000368:Aged; D001299:Audiometry; D003051:Cochlea / Q000601:surgery*; D006319:Hearing Loss, Sensorineural / Q000209:etiology / Q000601:surgery; D006801:Humans; D008575:Meniere Disease / Q000150:complications / Q000601:surgery*; D012444:Saccule and Utricle / Q000601:surgery*; D016896:Treatment Outcome; D014717:Vertigo / Q000601:surgery*