Triple Semicircular Canal Plugging versus Labyrinthectomy for Meniere Disease: A Retrospective Study

Li, Xiaofei; Lyu, Yafeng; Li, Yawei; Jian, Huirong; Wang, Jing; Song, Yeohan; Kong, Ligang; Fan, Zhaomin; Wang, Haibo; Zhang, Daogong

doi:10.1002/lary.30690

Cited by 7 publications

(3 citation statements)

References 43 publications

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“…TSCO is currently used with good curative effect. Based on the literature, the reported vertigo control rate ranges from 96.7–100% ( 6 , 29 ). The possible mechanism underlying might be associated with a reduction in movement of endolymph and minimizing hair cell stimulation during angular movement ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

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Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease

Tian,

Yin,

Zhang

et al. 2024

Front. Neurol.

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BackgroundMeniere’s disease (MD) is characterized by idiopathic endolymphatic hydrops (ELH). Frequent vertigo attacks is the most disabling symptom of MD.ObjectiveThis study evaluated the efficacy of triple semicircular canal occlusion combined with endolymphatic sac decompression in the treatment of frequent vertigo in patients with MD.MethodsEleven patients with complete medical records were included in this study conducted from May 2021 to April 2022. All patients were enrolled to undergo triple semicircular canal occlusion (TSCO) with endolymphatic sac decompression (ESD). Various tests including pure tone audiometry (PTA), vestibular evoked myogenic potentials (VEMPs), the video head impulse test (v-HIT), caloric test data, the Dizziness Handicap Inventory (DHI), the Berg Balance Scale (BBS), and the Tinnitus Handicap Inventory (THI) were performed both before and after the surgery.ResultsThe successful control rate of vertigo was 100% (9/9) in the average 23-month postoperative follow-up period, with complete control rate of 88.89% (8/9) and substantial control rate of 11.11% (1/9).ConclusionTriple semicircular canal occlusion combined with ESD may be an effective treatment option for managing frequent vertigo attacks in patients with MD. This combination therapy has the potential to become a significant addition to the treatment framework for MD.

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Section: Discussionmentioning

confidence: 99%

“…Pre, Preoperative; 1 M, 1 month postoperatively; 6 M, 6 months postoperatively; and 18 M, 18 months postoperatively. (6,29). The possible mechanism underlying might be associated with a reduction in movement of endolymph and minimizing hair cell stimulation during angular movement (7).…”

Section: Figurementioning

confidence: 99%

Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease

Tian,

Yin,

Zhang

et al. 2024

Front. Neurol.

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“…Triple semicircular canal plugging (TSCP). A study with a total of 116 MD patients revealed that this technique was comparable to labyrinthectomy for the control of vertigo in intractable MD, representing an effective therapy [66].…”

Section: Treatment Of Ménière's Diseasementioning

confidence: 99%

Mushrooms as Functional Foods for Ménière’s Disease

Bell,

Fernandes

2023

Applied Sciences

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Food, not nutrients, is the fundamental unit in nutrition, and edible mushrooms are fungi that supply unique biological bioactive compounds, different from plant or animal origin, which significantly impact human health status. However, to date all these concepts are interpreted in different ways, with rapidly increasing knowledge on nutrition, medicine, molecular biology, and plant biotechnology changing the concepts of food, health, and agriculture. The bioactive elements conveyed by foodstuffs as nutrients or non-nutrients interfere with human metabolism and have influence on health, aging, and well-being. The influence of edible mushrooms on medicinal interventions has been known and studied for many years and their latest role in neurodegenerative disorders has been recently investigated, while their significance on many other diseases has been well demonstrated. Despite considerable research, the etiology and pathogenesis of Ménière’s disease remains controversial and undefined, although usually associated with allergic, genetic, or trauma sources, and with viral infections and/or immune system-mediated mechanisms. With treatment still unknown, our attention is towards the eventual impact of complementary dietary interventions, synthesizing the recent knowledge of some edible mushrooms and preparations on Ménière’s disease, which is a lifelong condition that can develop at any age, but most commonly emerges between 40 and 60 years of age. It is demonstrated that the oral administration of a biomass preparation, with 3 g/day of the mushroom Coriolus versicolor for 2 to 6 months, on some 40 human Ménière’s disease patients reduced systemic oxidative stress and cellular stress response, decreased the number of crises and their duration, and the frequency of symptoms, improving the clinical grading of tinnitus severity.

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Hearing, balance, and imaging assessment in adolescent Menière's disease: A retrospective analysis

Li,

Lyu

et al. 2024

Laryngoscope Investig Oto

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ObjectiveTo retrospectively analyze clinical features in adolescent Menière's disease (MD).MethodsThe medical records of adolescents with MD (11–17 years old) from May 2014 to March 2023 in Shandong Provincial ENT Hospital were retrospectively analyzed, including clinical features, a battery of auditory and vestibular function tests, sensory organization test, and imaging assessments. Patients with recurrent vertigo of childhood (RVC) were as controls.ResultsCompared with RVC, adolescent MD showed higher pure tone average threshold (p < .001), lower speech discrimination score (p = .014), and lower otoacoustic emission pass rates (p = .005). Adolescents with MD exhibited significant reduction in equilibrium score (Conditions 1, 5, and 6; p1 = .035; p5 = .033; p6 = .003), composite sensory score (p = .014), and vestibular sensory score (p = .029). Adolescents with bilateral MD exhibited worse performance in equilibrium score and strategy score compared to adolescents with unilateral MD. For the affected ear, the more severe endolymphatic hydrops detected by gadolinium‐enhanced magnetic resonance imaging, the higher the auditory brainstem response threshold (r = .850, p = .007), and the lower the otoacoustic emission pass rate (r = −.976, p < .001).ConclusionAdolescent MD has similar vestibular information inputs with that of RVC, but the ability for the nerve center to use these clues to maintain balance is worse in adolescents with MD. There were potential differences in vestibular weights in adolescents with unilateral and bilateral MD, also potential effects on vision and proprioception.Level of EvidenceLevel 4.

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Triple Semicircular Canal Plugging versus Labyrinthectomy for Meniere Disease: A Retrospective Study

Cited by 7 publications

References 43 publications

Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease

Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease

Mushrooms as Functional Foods for Ménière’s Disease

Hearing, balance, and imaging assessment in adolescent Menière's disease: A retrospective analysis

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