A Further Critical Assessment of the Efficacy of Endolymphatic Sac Surgery
| Autor: | Tsun-Sheng Huang, Ching-Chen Lin |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Endolymphatic sac Endolymph Postoperative Complications otorhinolaryngologic diseases medicine Humans Inner ear Endolymphatic hydrops Meniere Disease Aged medicine.diagnostic_test business.industry Auditory Threshold Equipment Design Prostheses and Implants General Medicine Middle Aged medicine.disease Audiometry Evoked Response Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Hearing results Speech Perception Audiometry Pure-Tone Female Critical assessment Implant Endolymphatic Sac Audiometry business Follow-Up Studies Meniere's disease |
| Zdroj: | Acta Oto-Laryngologica. 115:263-269 |
| ISSN: | 1651-2251 0001-6489 |
| DOI: | 10.3109/00016489509125244 |
| Popis: | This paper further assesses the efficacy of two selected techniques of endolymphatic sac surgery (ELS) employing implants for the treatment of classic Meniere's disease and endolymphatic hydrops: the Arenberg inner ear valve implant and the newly developed Huang/Gibson inner ear shunt. Long-term (8-10 years) results for 57 patients given the Arenberg inner ear valve implant show that our demonstrated high success rate in achieving control of symptoms over the short term (1 year) is long-lasting and that although previously reported hearing gains have decreased in some cases, the overall long-term hearing results are better than for other surgical techniques. Preliminary results (less than 1 year) for 10 patients treated with the Huang/Gibson inner ear shunt indicate that it is comparable in efficacy to the Arenberg implant, while 4 out of the 10 patients have shown remarkable hearing gain, as detailed in case reports. These results again illustrate and substantiate the authors' previous conclusion that, in cases where there is a definitive delineation of the endolymphatic sac and its lumen, and where the sac is anatomically suitable, ELS is undoubtedly an effective modality and should be the standard primary choice for intractable Meniere's disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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