Vestibular neurectomy in resistant Meniere disease which  underwent endolymphatic sac surgery: a case report

Cengiz Çevik; Ercan Akbay; Yaşar Çokkeser

doi:10.5455/GMJ-30-2012-101

Authors

Cengiz Çevik Mustafa Kemal University, Faculty of Medicine, Department of Otolaryngology, Hatay
Ercan Akbay Mustafa Kemal University, Faculty of Medicine, Department of Otolaryngology, Hatay
Yaşar Çokkeser Mustafa Kemal University, Faculty of Medicine, Department of Otolaryngology, Hatay

DOI:

https://doi.org/10.5455/GMJ-30-2012-101

Keywords:

Endolymphatic sac, Meniere disease, vertigo, vestibular neurectomy

Abstract

Meniere disease is characterized by recurrent vertigo episodes, a sensation of fullness at ear, tinnitus and fluctuating hearing loss. Clinical findings have an important role in diagnosis of disease. In our study, we aimed to present two cases, a woman (35 years old) and a man (34 years old), underwent to vestibular neurectomy, which previously underwent endolymphatic sac surgery because having no benefit from medical therapy and recurrent complaints 1 and 6 months after endolymphatic surgery, respectively. No post- perative complication was seen. It was found that there was a formation of diffuse granulation surrounding sac, which blocked drainage.

Metrics

Metrics Loading ...

References

Bolluk B, Aydın N. Periferik vertigoya yaklaşım. J Kartal Tr 2004;15(3):191-4.

Şengör A, Koç A, Özkarakaş H. Meniere Hastalığı’nda intratimpanik gentamisin uygulaması. KBB-Forum 2004;3(2):66-71.

Bayramoğlu İ, Yılmaz M, Göksu N, Ceylan A, Ural A, Kemaloğlu Y. Periferik vertigolu hastalarda vestibuler nörektomi (12 Yıllık sonuçlarımız). KBB-Forum 2004;3(2):42-4

Arenberg IK, Silverstein H, Garcia-Ibanez E, Vander Ark G. Primary surgery for Meniere's disease: destructive surgery versus conservative surgery. Am J Otol 1986;7(4):5p preceding 241.

Wetmore SJ. Endolymphatic sac surgery for Ménière's disease: long-term results after primary and revision surgery. Arch Otolaryngol Head Neck Surg 2008;134(11):1144-8.

Marzo SJ, Leonetti JP. Intratympanic gentamycin therapy for persistent vertigo after endolymphatic sac surgery. Otolaryngol Head Neck Surg 2002;126(1):31-3.

Silverstein H, Jackson LE. Vestibular nerve section. Otolaryngol Clin North Am 2002;35(3):655-73.

Fisch U. Transtemporal supralayrinthine (middle cranial fossa) vestibular neurectomy: a review of the last 100 cases. Skull Base Surgery 1996;6(4):221-5.