Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (5): 46-50.doi: 10.6040/j.issn.1673-3770.1.2020.061

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Therapeutic effectiveness of 75 cases of retrolabyrinthine vestibular neurectomy for intractable Menieres disease

  

  • Received:2020-07-07 Published:2020-11-17

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Abstract: Objective To determine the therapeutic effectiveness of retrolabyrinthine vestibular neurectomy for intractable Menieres disease. Methods Clinical data of 75 patients with unilateral intractable Menieres disease who underwent retrolabyrinthine vestibular neurectomy were retrospectively investigated. Therapeutic effectiveness was analyzed, and the safety and reliability of the procedure was discussed. Results The mean duration of the disease was 53.11±43.87 months. Preoperative pure tone average of 500 Hz, 1 000 Hz, 2 000 Hz, and 4 000 Hz was(63.71±16.85)dB HL. Two cases were stage Ⅱ, 34 cases were stage Ⅲ, and 39 cases were stage Ⅳ. Two stage Ⅱ patients were recurrent cases after endolymphatic sac decompression surgery. Intracranial infection in 1 case(1.3%), cerebrospinal fluid leakage in 4 cases(5.3%), temporal facial nerve palsy in 1 case(1.3%), incision infection in 2 cases(2.6%), and fat liquefaction in 3 cases(3.9%)were observed postoperatively. There was no case of intracranial hemorrhage or total deafness. Therapeutic effectiveness for relieving vertigo was level A in 73 cases and level B in 2 cases. Conclusion The therapeutic effectiveness of retrolabyrinthine vestibular neurectomy for intractable Menieres disease is definite. Surgical risk and postoperative complications are controllable, and the quality of life can be significantly improved after surgery.

Key words: Menieres disease, Vertigo, Vestibular neurectomy, Hearing loss, Therapeutic effectiveness, Vestibular compensation

CLC Number: 

  • R764.33
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