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Transcanal Transvestibular Endoscopic Neurectomy: First Experience.
Daniele Marchioni1, Nicole Caiazza, Cinzia Calabrese
1Otolaryngology Department, Verona University Hospital, Verona, Italy.
Summary
Transcanal transvestibular endoscopic neurectomy offers a promising solution for intractable Ménière's disease, effectively resolving vertigo in patients with severe hearing loss. This minimally invasive approach demonstrates safety and efficacy in selected cases.
Area of Science:
- Otolaryngology
- Neurosurgery
- Endoscopic Surgery
Background:
- Ménière's disease is an inner ear disorder causing vertigo, hearing loss, and tinnitus.
- Intractable Ménière's disease, unresponsive to conservative therapy, requires ablative surgical techniques.
- Traditional options include labyrinthectomy or translabyrinthine vestibular neurectomy for severe cases.
Purpose of the Study:
- To report the initial application of transcanal transvestibular endoscopic neurectomy.
- To evaluate this technique in patients with disabling vertigo and high-grade sensorineural hearing loss.
Main Methods:
- Retrospective chart review of patients with intractable Ménière's disease.
- Surgical intervention using transcanal transvestibular endoscopic neurectomy.
- Detailed step-by-step description of the surgical technique.
Main Results:
- Two patients underwent the transcanal transvestibular endoscopic neurectomy procedure.
- No intraoperative complications were noted; one patient experienced a postoperative CSF leak requiring revision.
- Complete resolution of vertigo attacks was achieved at 6 months post-surgery.
Conclusions:
- Transcanal transvestibular neurectomy is a potentially safe and effective procedure.
- This technique shows promise for selected patients with intractable Ménière's disease and severe hearing loss.
