| Therapeutic Results of the Endolymphatic Sac Decompresson & Vestibular Neurectomy in the Meniere's Disease |
| Won-Sang Lee, MD1, Jeong Hwan Lee, MD1, Un Kyo Chung, MD2, and Seung Chul Lee, MD3 |
| 1;Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, 2;Department of Otorhinolaryngology, Ewha Womans University College of Medicine, Seoul, 3;Department of Otorhinolaryngology, Inha University College of Medicine, Sungnam, K |
| 메니에르병에서 내림프낭 수술과 전정신경절단술의 치험 |
| 이원상1 · 이정환1 · 정운교2 · 이승철3 |
| 연세대학교 의과대학 이비인후과학교실1;이화여자대학교 의과대학 이비인후과학교실2;인하대학교 의과대학 이비인후과학교실3; |
|
|
|
|
|
| ABSTRACT |
|
Meniere's disease is a disorder of the membranous labyrinth that is characterized by vertigo, hearing loss, tinnitus and ear fullness without the definitive causes. Surgical intervention of Meniere's disease is indicated when symptoms persist in spite of an adequate trial of medical therapy. This study reviewed eighteen cases of endolymphatic sac surgery and seven cases of vestibular neurectomy which had been conducted from 1989 to 1992. Complete and substantial groups of vertigo grading were 61%(eleven cases) of decompression cases and 100%(seven cases) of neurectomy cases. Improved and unchanged groups of hearing change were 84%(fifteen cases) of decompression and in all of neurectomy cases. No disability was 63%(eleven cases) of decompression cases and 86%(six cases) of neurectomy cases. According to 1972, AAOO criteria, group A and B were 50%(nine cases) of decompression group and 100%(six cases) of the neurectomy group. Five cases of sac surgery group required the second surgical trial due to recurrent vertigo.
|
| Keywords:
Meniere's diseaseㆍEndolymphatic sac decompressionㆍVestibular neurectomy. |
|
PDF Links
Full text via DOI 
Download Citation 
