[Historical evolution and frontier of endolymphatic sac surgery for treatment of Ménière's disease]

Surgical treatment could be necessary for patients with intractable Ménière's disease.Endolymphatic sac surgery is a favorable option as it could preserve patient's hearing and vestibular function.The overall vertigo control rate after the surgery was about 80%.Endolymphatic sac surgery includes several variations,namely sac shunting,sac drainage,and sac decompression.Although their establishment and development have experienced a long tortuous process,the theoretical basis and clinical efficacy of the surgery remain controversial.Meanwhile,new findings and surgical innovation keep emerging.This article introduces the historical evolution and reviews the frontier of endolymphatic sac surgery for treatment of Ménière's disease.