title: Endolymphatic Sac Surgery for Ménière's Disease - Current Opinion and Literature Review.
abstract: IntroductionThe endolymphatic sac is thought to maintain the hydrostatic pressure and endolymph homeostasis for the inner ear, and its dysfunction may contribute to the pathophysiology of Ménière's disease. Throughout the years, different surgical procedures for intractable vertigo secondary to Ménière's disease have been described, and though many authors consider these procedures as effective, there are some who question its long-term efficacy and even those who think that vertigo control is achieved more due to a placebo effect than because of the procedure itself.ObjectiveTo review the different surgical procedures performed in the endolymphatic sac for the treatment of Ménière's disease.Data SourcesPubMed, MD consult and Ovid-SP databases.Data SynthesisWe focus on describing the different surgical procedures performed in the endolymphatic sac, such as endolymphatic sac decompression, endolymphatic sac enhancement, endolymphatic sac shunting and endolymphatic duct blockage, their pitfalls and advantages, their results in vertigo control and the complication rates.The senior author also describes his experience after 30 years of performing endolymphatic sac surgery.ConclusionsThe endolymphatic sac surgery, with all its variants, is a good option for patients with incapacitating endolymphatic hydrops, providing a high percentage of vertigo control and hearing preservation.
authors.affiliation: Otorhinolaryngology Department, Grupo Otológico Médica Sur, México, DF, Mexico.
authors.forename: Maria de Lourdes
authors.initials: ML
authors.lastname: Flores García
authors.affiliation: Otorhinolaryngology Department, Grupo Otológico Médica Sur, México, DF, Mexico.
authors.forename: Carolina de la
authors.initials: C
authors.lastname: Llata Segura
authors.affiliation: Otorhinolaryngology and Neurotology Department, Instituto Nacional de Rehabilitación, México, DF, Mexico.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Cisneros Lesser
authors.affiliation: Otorhinolaryngology and Neurotology, Grupo Otológico Médica Sur, Neurociencias Clínicas e Investigación, Ciudad de México, DF, Mexico.
authors.forename: Carlo
authors.initials: C
authors.lastname: Pane Pianese
keywords: Ménière's disease.; endolymphatic mastoid shunt; endolymphatic sac decompression; endolymphatic sac drainage; endolymphatic sac surgery