Hearing Outcome After Concurrent Endolymphatic Shunt and Vestibular Nerve Section

Abstract

Concurrent endolymphatic shunt surgery and vestibular nerve section does not improve hearing or tinnitus outcome over vestibular nerve section alone.

Combined Retrosigmoid Retrolabyrinthine Vestibular Nerve Section: Results of our Experience over 10 Years

“…However, according to our previous reports, hearing results and vertigo control rates of this combined surgery is similar to VN alone (3). Similar results were also reported by other researchers (11). Therefore, we stopped performing the combined surgery after 86 patients and have since been performing VN alone.…”

Surgical Treatment of Peripheral Vertigo and Vertiginous Diseases

“…According to our results in 116 patients with Ménière's disease, concurrent endolymphatic sacsubarachnoid shunt surgery and vestibular nerve section does not improve hearing or tinnitus outcome over vestibular nerve section alone [61]. Similar results were also reported by other researchers [62]. Accordingly, a beneficial effect of endolymphatic sac-subarachnoid shunt surgery seems questionable in Ménière's disease.…”

Assessing Outcomes of Tinnitus Intervention

“…The THI also has demonstrated clinical utility for evaluating treatment effects when used with its companion questionnaires, namely the Hearing Handicap Inventory for the Elderly (HHIE; Ventry and Weinstein, 1982), Hearing Handicap Inventory for Adults (HHIA;Newman et al, 1990), and the Dizziness Handicap Inventory (DHI; Jacobson and Newman, 1990). For example, the battery of tinnitus, hearing, and dizziness questionnaires has been used in combination to quantify treatment-related effects for Ménière's disease (Kinney et al, 1997;Storper et al, 1998;Moody-Antonio and House, 2003;Garduñ o-Anaya et al, 2005) and idiopathic sudden hearing loss (Slattery et al, 2005). Further, the coupling of the HHIE/A with the THI may be helpful from a clinical perspective in determining (1) whether it is the patient's hearing loss or tinnitus that is causing the most difficulty (2) and selecting the most appropriate sound therapy option in the management of tinnitus.…”