Triple semicircular canal occlusion for the treatment of Ménière's disease.
CONCLUSIONS
Triple semicircular canal occlusion (TSCO) controls vertigo, is easy to perform, and could be used as an alternative procedure for the treatment of Meniere's disease in selected patients who complain mainly of intractable vertigo.


OBJECTIVE
To seek an effective alternative surgical procedure for treating Ménière's disease in selected patients with intolerant rotational vertigo.


METHODS
Three patients with Ménière's disease who underwent unsuccessful endolymphatic sac decompression or mastoid shunt, then underwent TSCO. Vertigo control and vestibular and auditory function were measured.


RESULTS
The early vestibular symptoms caused by surgery resolved quickly and no hearing deterioration occurred after surgery. At the end of the follow-up period, based on the AAO-HNS criteria, two cases had complete control of vertigo (class A) and the other had substantial control of vertigo attacks (class B). Hearing was similar to the preoperative level at the end of the follow-up period.
Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China. yinshankai@china.com
Shankai
S
Yin
Zhengnong
Z
Chen
Dongzhen
D
Yu
Yaqin
Y
Wu
Haibo
H
Shi
Huiqun
H
Zhou
Jian
J
Wang
D001301:Audiometry, Pure-Tone; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing / Q000502:physiology; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D013506:Otologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D012665:Semicircular Canals / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014717:Vertigo / Q000209:etiology / Q000503:physiopathology / Q000601:surgery