Abstract
Conclusion: Lateral canal plugging with endolymphatic sac decompression (LCPESD) is a new therapeutic approach to intractable Meniere's disease. Further clinical data will be required. Objective: The objective of this paper is to present a new surgical procedure, i.e. lateral canal plugging (LCP) with endolymphatic sac decompression (ESD), which we defined as LCPESD. Two cases of intractable Meniere's disease, a 48-year-old male and a 48-year-old female, were successfully treated by this method. Methods: LCPESD was performed under general anesthesia. First ESD was undertaken followed by LCP. The bone was drilled up to the 'blue line' in the central portion of the bony lateral canal; then a 2 mm segment of canal was skeletonized to create a fenestra. A plug comprising temporalis fascia, bone pate, and fibrinogen glue was inserted through the fenestra to compress the endosteum and membranous labyrinth. Results: The attack of Meniere's disease was completely controlled and the hearing threshold did not change after the surgery for 2 years. Obliteration of the horizontal canal was confirmed by MRI.
| Original language | English |
|---|---|
| Pages (from-to) | 893-895 |
| Number of pages | 3 |
| Journal | Acta Oto-Laryngologica |
| Volume | 132 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2012 Aug |
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Keywords
- Canal obliteration
- Vestibular
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Lateral semicircular canal plugging with endolymphatic sac decompression as new surgical treatment for intractable Meniere's disease. / Goto, Fumiyyuki; Tsutsumi, Tomoko; Ogawa, Kaoru.
In: Acta Oto-Laryngologica, Vol. 132, No. 8, 08.2012, p. 893-895.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Lateral semicircular canal plugging with endolymphatic sac decompression as new surgical treatment for intractable Meniere's disease
AU - Goto, Fumiyyuki
AU - Tsutsumi, Tomoko
AU - Ogawa, Kaoru
PY - 2012/8
Y1 - 2012/8
N2 - Conclusion: Lateral canal plugging with endolymphatic sac decompression (LCPESD) is a new therapeutic approach to intractable Meniere's disease. Further clinical data will be required. Objective: The objective of this paper is to present a new surgical procedure, i.e. lateral canal plugging (LCP) with endolymphatic sac decompression (ESD), which we defined as LCPESD. Two cases of intractable Meniere's disease, a 48-year-old male and a 48-year-old female, were successfully treated by this method. Methods: LCPESD was performed under general anesthesia. First ESD was undertaken followed by LCP. The bone was drilled up to the 'blue line' in the central portion of the bony lateral canal; then a 2 mm segment of canal was skeletonized to create a fenestra. A plug comprising temporalis fascia, bone pate, and fibrinogen glue was inserted through the fenestra to compress the endosteum and membranous labyrinth. Results: The attack of Meniere's disease was completely controlled and the hearing threshold did not change after the surgery for 2 years. Obliteration of the horizontal canal was confirmed by MRI.
AB - Conclusion: Lateral canal plugging with endolymphatic sac decompression (LCPESD) is a new therapeutic approach to intractable Meniere's disease. Further clinical data will be required. Objective: The objective of this paper is to present a new surgical procedure, i.e. lateral canal plugging (LCP) with endolymphatic sac decompression (ESD), which we defined as LCPESD. Two cases of intractable Meniere's disease, a 48-year-old male and a 48-year-old female, were successfully treated by this method. Methods: LCPESD was performed under general anesthesia. First ESD was undertaken followed by LCP. The bone was drilled up to the 'blue line' in the central portion of the bony lateral canal; then a 2 mm segment of canal was skeletonized to create a fenestra. A plug comprising temporalis fascia, bone pate, and fibrinogen glue was inserted through the fenestra to compress the endosteum and membranous labyrinth. Results: The attack of Meniere's disease was completely controlled and the hearing threshold did not change after the surgery for 2 years. Obliteration of the horizontal canal was confirmed by MRI.
KW - Canal obliteration
KW - Vestibular
UR - http://www.scopus.com/inward/record.url?scp=84864224130&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84864224130&partnerID=8YFLogxK
U2 - 10.3109/00016489.2012.663932
DO - 10.3109/00016489.2012.663932
M3 - Article
C2 - 22404302
AN - SCOPUS:84864224130
VL - 132
SP - 893
EP - 895
JO - Acta Oto-Laryngologica
JF - Acta Oto-Laryngologica
SN - 0001-6489
IS - 8
ER -