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Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease
Published on: April 28, 2023
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
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.
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.
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