[The investigation of operative treatment of Ménière's disease].
OBJECTIVE
To investigate the clinical effect of the operations in the treatment of Meniere's disease.


METHODS
Twenty-one patients with Meniere's disease were treated by the operation of decompression of the endolymphatic sac. Nine patients were treated by vestibular neurectomy via retrosigmoid sinus approach. The follow-up time was between 3 and 6 years.


RESULTS
In 21 patients by the operation of decompression of the endolymphatic sac, vertigo was completely controlled in 11 cases, substantially controlled in 4, limitedly controlled in 4 and not controlled in 2. In 9 patients underwent vestibular neurectomy via retrosigmoid sinus approach, vertigo was completely controlled.


CONCLUSIONS
Endolymphatic sac surgery is the first way in the operative treatments of Meniere's disease. The operation of vestibular neurectomy should be adopted only in the patients who have failed after the operation of endolymphatic sac surgery or have lost the working ability substantially.
Han
Jie
J
Department of Otolaryngology, Clinical College of Shandong University, Shandong Province Hospital, Jinan 250021.
Liu
Yiqing
Y
Wang
Haibo
H
Fan
Zhaomin
Z
Fan
Zhong
Z
D000328:Adult; D019299:Decompression, Surgical; D004712:Endolymphatic Sac / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000601:surgery*; D008875:Middle Aged; D014725:Vestibular Nerve / Q000601:surgery