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New marsupialization technique in endolymphatic sac surgery.

Ahmad Daneshi1, Farideh Hosseinzadeh1, Saleh Mohebbi2

  • 1ENT and Head & Neck Research Center The Five Senses Institute, Iran University of Medical Sciences Tehran Iran.

Laryngoscope Investigative Otolaryngology
|June 30, 2020
PubMed
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A new marsupialization technique for endolymphatic sac decompression surgery effectively treats Meniere

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Surgical Innovation

Background:

  • Meniere's disease is a chronic inner ear disorder.
  • Intractable unilateral Meniere's disease presents significant challenges.
  • Current surgical options for Meniere's disease have varying outcomes.

Purpose of the Study:

  • To introduce and evaluate a novel endolymphatic sac decompression technique.
  • To assess the safety and efficacy of marsupialization with anterior bony border.
  • To report surgical outcomes for patients with intractable unilateral Meniere's disease.

Main Methods:

  • A cohort of 43 patients with intractable unilateral Meniere's disease underwent the new surgical procedure.
  • Endolymphatic sac decompression was performed via simple mastoidectomy.
Keywords:
Meniere's diseaseendolymphatic sac decompressionmarsupialization technique

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  • A marsupialization technique involving incision and repositioning of the sac's outer layer was utilized.

    • Main Results:

    • Follow-up averaged 24 months.
    • Significant improvements were observed in tinnitus, vertigo, and ear fullness.
    • The procedure demonstrated effectiveness in controlling progressive hearing loss based on pure tone average and hearing stage.

    Conclusions:

    • Marsupialization with anterior bony border is a safe and effective surgical treatment for Meniere's disease.
    • This technique offers significant benefits for symptom management, including tinnitus and vertigo.
    • The surgery shows promise in preserving or improving hearing function.