PDF(Pubmed)
Abstract：
UNASSIGNED: Meniere\'s disease (MD) is characterized by idiopathic endolymphatic hydrops (ELH). Frequent vertigo attacks is the most disabling symptom of MD.
UNASSIGNED: This study evaluated the efficacy of triple semicircular canal occlusion combined with endolymphatic sac decompression in the treatment of frequent vertigo in patients with MD.
UNASSIGNED: Eleven patients with complete medical records were included in this study conducted from May 2021 to April 2022. All patients were enrolled to undergo triple semicircular canal occlusion (TSCO) with endolymphatic sac decompression (ESD). Various tests including pure tone audiometry (PTA), vestibular evoked myogenic potentials (VEMPs), the video head impulse test (v-HIT), caloric test data, the Dizziness Handicap Inventory (DHI), the Berg Balance Scale (BBS), and the Tinnitus Handicap Inventory (THI) were performed both before and after the surgery.
UNASSIGNED: The successful control rate of vertigo was 100% (9/9) in the average 23-month postoperative follow-up period, with complete control rate of 88.89% (8/9) and substantial control rate of 11.11% (1/9).
UNASSIGNED: Triple semicircular canal occlusion combined with ESD may be an effective treatment option for managing frequent vertigo attacks in patients with MD. This combination therapy has the potential to become a significant addition to the treatment framework for MD.
UNASSIGNED: This study evaluated the efficacy of triple semicircular canal occlusion combined with endolymphatic sac decompression in the treatment of frequent vertigo in patients with MD.
UNASSIGNED: Eleven patients with complete medical records were included in this study conducted from May 2021 to April 2022. All patients were enrolled to undergo triple semicircular canal occlusion (TSCO) with endolymphatic sac decompression (ESD). Various tests including pure tone audiometry (PTA), vestibular evoked myogenic potentials (VEMPs), the video head impulse test (v-HIT), caloric test data, the Dizziness Handicap Inventory (DHI), the Berg Balance Scale (BBS), and the Tinnitus Handicap Inventory (THI) were performed both before and after the surgery.
UNASSIGNED: The successful control rate of vertigo was 100% (9/9) in the average 23-month postoperative follow-up period, with complete control rate of 88.89% (8/9) and substantial control rate of 11.11% (1/9).
UNASSIGNED: Triple semicircular canal occlusion combined with ESD may be an effective treatment option for managing frequent vertigo attacks in patients with MD. This combination therapy has the potential to become a significant addition to the treatment framework for MD.
摘要：
■梅尼埃病（MD）的特征是特发性内淋巴水肿（ELH）。频繁的眩晕发作是MD的最致残症状。
■本研究评估了三支半规管闭塞联合内淋巴囊减压治疗MD患者频发性眩晕的疗效。
■在2021年5月至2022年4月进行的这项研究中，纳入了11名具有完整病历的患者。所有患者均接受三支半规管闭塞（TSCO）内淋巴囊减压（ESD）治疗。各种测试，包括纯音测听法（PTA），前庭诱发肌源性电位（VEMPs），视频头脉冲测试（v-HIT），热量测试数据，头晕障碍清单(DHI)，伯格平衡量表(BBS)，和耳鸣障碍量表（THI）在手术前后进行。
■在平均23个月的术后随访期间，眩晕的成功控制率为100％（9/9），完全控制率88.89%(8/9),实质控制率11.11%(1/9)。
■三重半规管闭塞联合ESD可能是治疗MD患者频繁眩晕发作的有效治疗选择。这种联合疗法有可能成为MD治疗框架的重要补充。
■本研究评估了三支半规管闭塞联合内淋巴囊减压治疗MD患者频发性眩晕的疗效。
■在2021年5月至2022年4月进行的这项研究中，纳入了11名具有完整病历的患者。所有患者均接受三支半规管闭塞（TSCO）内淋巴囊减压（ESD）治疗。各种测试，包括纯音测听法（PTA），前庭诱发肌源性电位（VEMPs），视频头脉冲测试（v-HIT），热量测试数据，头晕障碍清单(DHI)，伯格平衡量表(BBS)，和耳鸣障碍量表（THI）在手术前后进行。
■在平均23个月的术后随访期间，眩晕的成功控制率为100％（9/9），完全控制率88.89%(8/9),实质控制率11.11%(1/9)。
■三重半规管闭塞联合ESD可能是治疗MD患者频繁眩晕发作的有效治疗选择。这种联合疗法有可能成为MD治疗框架的重要补充。
