title: How minimally invasive vestibular neurotomy for incapacitating Meniere's disease improves dizziness and anxiety.
abstract: CONCLUSIONS
  Patients with incapacitating Meniere Disease (MD) suffer in their daily lives and activities because of the dizziness and anxiety induced by MD. Minimally Invasive Vestibular Neurotomy (MIVN) is a safe and effective surgical treatment for these individuals, and improved their dizziness and anxiety.
  
  
  OBJECTIVE
  This study aimed to assess the state of dizziness and anxiety of patients with incapacitating MD and its improvement through MIVN.
  
  
  METHODS
  A total of 118 patients with incapacitating MD who underwent MIVN in France and Japan were evaluated. The DHI (Dizziness Handicap Inventory), SAST (Short Anxiety Screening Test), and STAI (State Trait Anxiety Index) questionnaires were used to evaluate disequilibrium and anxiety.
  
  
  RESULTS
  The MIVN method appears safe and effective for patients with incapacitating MD. Pre-operative assessment results by DHI and SAST were significantly related to each other, and were influenced by lifestyle and profession. This prospective study showed that MIVN improved dizziness and anxiety in these patients.
authors.affiliation: a Department of Otolaryngology , Tokyo Kyosai Hospital , Tokyo , Japan.|b Department of Otolaryngology , Tokyo Women's Medical University Medical Center East , Tokyo , Japan.
authors.forename: Hidemi
authors.initials: H
authors.lastname: Miyazaki
authors.affiliation: c Department of Otolaryngology-Head and Neck Surgery , Nihon University School of Medicine , Tokyo , Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Nomura
authors.affiliation: d Department of Otolaryngology , University Aix Marseille II L'Hôpital Nord , Marseille , France.
authors.forename: Ali
authors.initials: A
authors.lastname: Mardassi
authors.affiliation: d Department of Otolaryngology , University Aix Marseille II L'Hôpital Nord , Marseille , France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Deveze
authors.affiliation: e Department of Otorhinolaryngology , Jikei University School of Medicine , Tokyo , Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Miura
authors.affiliation: f Department of Public Health , Nihon University School of Medicine , Tokyo , Japan.
authors.forename: Maki
authors.initials: M
authors.lastname: Jike
authors.affiliation: d Department of Otolaryngology , University Aix Marseille II L'Hôpital Nord , Marseille , France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Magnan
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000601:surgery; D004244:Dizziness / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000150:complications / Q000523:psychology / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011446:Prospective Studies; D012189:Retrospective Studies; D014725:Vestibular Nerve / Q000601:surgery*; D055815:Young Adult
keywords: DHI; SAST; STAI; Vertigo; equilibrium; surgery