Triple semicircular canal occlusion for the treatment of Ménière's disease

Shankai Yin Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, ChinaCorrespondence[email protected]

, PhD , MD,

Zhengnong Chen Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China

Dongzhen Yu Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China

Yaqin Wu Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China

Haibo Shi Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China

Huiqun Zhou Department of Otolaryngology, Affiliated Sixth People's Hospital and Otolaryngology Institute, Shanghai Jiao Tong University, Shanghai, China

Jian Wang School of Human Communication Disorders, Dalhousie University, Halifax, Nova Scotia, Canada

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Abstract

Conclusion. Triple semicircular canal occlusion (TSCO) controls vertigo, is easy to perform, and could be used as an alternative procedure for the treatment of Ménière's disease in selected patients who complain mainly of intractable vertigo. Objective. To seek an effective alternative surgical procedure for treating Ménière's disease in selected patients with intolerant rotational vertigo. Patients and methods. Three patients with Ménière's disease who underwent unsuccessful endolymphatic sac decompression or mastoid shunt, then underwent TSCO. Vertigo control and vestibular and auditory function were measured. Results. The early vestibular symptoms caused by surgery resolved quickly and no hearing deterioration occurred after surgery. At the end of the follow-up period, based on the AAO-HNS criteria, two cases had complete control of vertigo (class A) and the other had substantial control of vertigo attacks (class B). Hearing was similar to the preoperative level at the end of the follow-up period.

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Triple semicircular canal occlusion for the treatment of Ménière's disease

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Triple semicircular canal occlusion for the treatment of Ménière's disease

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