[Selection of surgical methods for Méniére's disease].
119 cases (cars) of Meniere's disease operated on with different surgical methods were reevaluated with the criteria (Chinese ENT Association, 1996). 48 cases in second stage underwent endolymphatic sac shunt (ESS); 32 cases in third stage underwent scarpa ganglionectomy (SGN) and 12 cases in the same stage ESS; 16 cases in fourth stage vestibulocochlear neurectomy(VCN) and others ESS(7 cases) and SGN(4 cases). The results showed that 1. ESS successfully relieved vertigo in 79.2 per cent of the patients in second stage (reversible stage), and their hearing tended to stabilize(35.4%); 2. SGN was successful in controlling the vertigo of those patients in third stage who may retain some usable hearing; 3. Patients underwent VCN in fourth stage experienced a rapid elimination of tinnitus. The postoperative results were highly dependent on careful staging and selection of the surgical method.
Wang
Z
Z
E. E. N. T. Hospital of Shanghai Medical University.
Zhang
Y
Y
D004712:Endolymphatic Sac / Q000601:surgery; D006801:Humans; D008575:Meniere Disease / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000379:methods; D014725:Vestibular Nerve / Q000601:surgery