title: Vestibular neurectomy with simultaneous endolymphatic subarachnoid shunt.
abstract: The purpose of this study was to assess the advantages of combined vestibular neurectomy (VN) and endolymphatic subarachnoid shunt (ELSS) surgeries in classic Menière's disease. We performed a retrospective analysis of the results of 116 patients with classic Menière's disease who were operated on via a posterior fossa approach. All patients underwent selective VN. In 86 of the patients, ELSS surgery was performed in conjunction with VN via the posterior fossa, which is called two-in-one surgery. Among the 86 patients who underwent two-in-one surgery, hearing preservation was achieved in 71 (82.5%), and the vertigo control rate was 96.5%. In patients who underwent VN without ELSS, hearing stabilization was achieved in 24 (80%), and the vertigo control rate was 96.7%. The hearing results and vertigo control rates were similar in the groups. Aural fullness subsided in 62 (72.1%) of the patients who underwent VN plus ELSS and in 14 (46.7%) who underwent VN alone. The recovery of fullness was significantly better with the combined VN and ELSS procedure ( P<0.05). In conclusion, although the two-in-one operation is a new procedure, its results for vertigo control and hearing stabilization are not different from that of VN alone. The only significant advantage of this technique was the achievement of a substantial improvement in the reduction of aural fullness.
authors.affiliation: Gazi University, Faculty of Medicine, Department of Ear, Nose and Throat, Besevler, Ankara, Turkey.
authors.forename: Nebil
authors.initials: N
authors.lastname: Göksu
authors.forename: Yildirim A
authors.initials: YA
authors.lastname: Bayazit
authors.forename: Abdullah
authors.initials: A
authors.lastname: Abdulhalik
authors.forename: Yusuf K
authors.initials: YK
authors.lastname: Kemaloğlu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003388:Cranial Fossa, Posterior / Q000503:physiopathology / Q000601:surgery; D004713:Endolymphatic Shunt; D005260:Female; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D013346:Subarachnoid Space / Q000503:physiopathology / Q000601:surgery; D014725:Vestibular Nerve / Q000503:physiopathology / Q000601:surgery*