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Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease

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La enfermedad de Meniere.

Hamed Sajjadi¹, Michael M Paparella

¹Department of Otolaryngology Head and Neck Surgery, Stanford University Medical Center, San Jose, CA 95124, USA. otology@hotmail.com

Lancet (London, England)

|August 5, 2008

Resumen

Este resumen es generado por máquina.

La enfermedad de Meniere, una afección crónica del oído interno, causa vértigo, pérdida auditiva y tinnitus. Aunque es incurable, el 85% de los pacientes encuentran alivio a través de cambios en el estilo de vida, tratamientos médicos o cirugía.

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Área de la Ciencia:

Neurología Neurología.
La otorrinolaringología otorrinolaringología.
Medicina interna es la medicina interna de las enfermedades.

Sus antecedentes:

La enfermedad de Meniere es un trastorno crónico del oído interno que afecta a numerosos pacientes en todo el mundo.
Se caracteriza por vértigo episódico, pérdida de audición neurosensorial fluctuante, tinnitus y presión aural.

Objetivo del estudio:

Revisar las estrategias actuales de manejo para la enfermedad de Ménière.
Para resaltar la eficacia de varios tratamientos, desde medidas conservadoras hasta intervenciones quirúrgicas.

Principales métodos:

Revisión de la literatura existente sobre el tratamiento de la enfermedad de Meniere.
Análisis de resultados para cambios en el estilo de vida, terapias médicas y procedimientos quirúrgicos.

Principales resultados:

Más del 85% de los pacientes experimentan una mejora de los síntomas con las opciones de manejo actuales.
Las cirugías mínimamente invasivas como la terapia intratimpánica con esteroides / gentamicina y la cirugía de saco endolínfatico son efectivas.
La neurectomía vestibular ofrece un alto control del vértigo para pacientes seleccionados, mientras que la laberintectomía es un último recurso para la sordera unilateral.

Conclusiones:

El manejo de la enfermedad de Meniere implica un espectro de tratamientos adaptados a las necesidades individuales del paciente.
Una mayoría significativa de los pacientes puede lograr el control de los síntomas y mejorar la calidad de vida.