Abstract
Otologists who have no prior experience with Ménière’s disease surgery must review the literature in order to decide upon the suitable technique for the case of the disease at hand. Until now, a wide variety of literature concerning modified techniques has appeared, suggesting that there seems to be no single technique which has satisfied any one surgeon. In most critical papers, the efficacy of conservative surgery, such as endolymphatic sac surgery on Ménière’s disease, has been described as questionable because no significant difference from medical treatment has been observed. There was even an experiment indicating that the efficacy of an active operation to be the same as that of a placebo operation [1]. Is conservative surgery, then, really not effective for Ménière’s disease? Additionally, is destructive surgery more preferable than nondestructive conservative surgery? In this paper, I will describe our policy of surgical treatment for Ménière’s disease derived from 20 years of experience, primarily with intra-mastoid drainage surgery.
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References
Thomsen J. Bretlau P (1986) General conclusion. In: Pfaltz CR (ed) Controversial aspects of Ménierè’s disease. Georg Thieme, Stuttgart, pp. 120–136
Kitahara M (1971) Surgical treatment of Ménierè’s disease (in Japanese). Pract Otol (Kyoto) 64: 349–369
Kitahara M, Matsubara H, Takeda T, Yazawa Y (1979) Bilateral Ménierè’s disease. Adv Otorhinolaryngol 25: 117–121
Day KM (1943) Labyrinthine surgery for Ménierè’s disease. Laryngoscope 53: 617–630
Arslan M (1953) Treatment of Ménierè’s syndrome by direct application of ultrasound waves to the vestibular system. In: Proceedings of the international congress of otolaryngology, Amsterdam, pp. 429–436
Wolfson RJ (1966) Cryosurgery of the labyrinth. Laryngoscope 76: 733–753
Kitahara M, Kitajima K, Yazawa Y, Uchida K (1987) Endolymphatic sac surgery for Ménierè’s disease: Eighteen-year experience with the Kitahara sac operation. Am J Otol 4: 283–286
Portmann G (1927) Vertigo: Surgical treatment by opening the saccus endolymphaticus. Arch Otolaryngol 6: 309–319
Fick IA (1965) Sacculotomy for hydrops. Laryngoscope 75: 1531–1546
Cody DTR (1967) Automatic repetitive decompression of the saccule in endolymphatic hydrops. Laryngoscope 77: 1480–1501
Pulec JL (1968) The otoperotic shunt. In: Pulec JL (ed) Ménierè’s disease. Saunders, Phil adelphia, pp 643–648
Kitahara M, Takeda T, Yazawa Y, Matsubara H, Kitano H (1982) Experimental study on Ménierè’s disease. Otolaryngol Head Neck Surg 90: 470–481
Kitahara M, Takeda T, Yazawa Y, Matsubara H (1980) Surgical confirmation of endolymphatic hydrops by hearing gain by bone conduction. In: Proceedings of the 6th Shambaugh international workshop on microsurgery and the 3rd Shea fluctuating hearing loss symposium. Strode, Huntsville, pp 260–263
Yamakawa K, Naito T (1954) The modification of Portmann’s operation for Ménierè’s disease (in Japanese). Med J Osaka University 5: 167–175
House WF (1962) Subarachnoid shunt for drainage of endolymphatic hydrops. Laryngoscope 72: 713–729
Weille FL, O’Brien HF (1958) Pressures of the labyrinthine fluids. Ann Otol Rhinol Laryngol 67: 858
Kitahara M, Futaki T, Morimoto M (1974) Epidural drainage operation for Ménierè’s disease (in Japanese). Equilibrium Res 4: 48–51
Kitahara M, Takeda T, Yazawa Y, Matsubara H (1983) Experimental and clinical studies on epidural drainage surgery. Adv Otorhinolaryngol 30: 242–244
Kitahara M, Kitano H (1985) Surgical treatment of Ménierè’s disease. Am J Otol 6: 108–109
Kithahara M, Kitajima K (1988) Intramastoid drainage surgery for Ménierè’s disease—Critical analysis of variation of surgical results for Ménierè’s disease. Adv Otorhinolaryngol 42: 269–274
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© 1990 Springer-Verlag Tokyo
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Kitahara, M. (1990). The Status of Endolymphatic Sac Surgery. In: Kitahara, M. (eds) Ménière’s Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68111-3_24
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DOI: https://doi.org/10.1007/978-4-431-68111-3_24
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68113-7
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