How minimally invasive vestibular neurotomy for incapacitating Meniere’s disease improves dizziness and anxiety

Hidemi MiyazakiDepartment of Otolaryngology, Tokyo Kyosai Hospital, Tokyo, Japan; ;Department of Otolaryngology, Tokyo Women’s Medical University Medical Center East, Tokyo, Japan;

Yasuyuki NomuraDepartment of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan; Correspondence[email protected]

Ali MardassiDepartment of Otolaryngology, University Aix Marseille II L’Hôpital Nord, Marseille, France;

Arnaud DevezeDepartment of Otolaryngology, University Aix Marseille II L’Hôpital Nord, Marseille, France;

Masahiro MiuraDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan;

Maki JikeDepartment of Public Health, Nihon University School of Medicine, Tokyo, Japan

Jacques MagnanDepartment of Otolaryngology, University Aix Marseille II L’Hôpital Nord, Marseille, France;

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Abstract

Conclusion: Patients with incapacitating Meniere Disease (MD) suffer in their daily lives and activities because of the dizziness and anxiety induced by MD. Minimally Invasive Vestibular Neurotomy (MIVN) is a safe and effective surgical treatment for these individuals, and improved their dizziness and anxiety.

Objectives: This study aimed to assess the state of dizziness and anxiety of patients with incapacitating MD and its improvement through MIVN.

Method: A total of 118 patients with incapacitating MD who underwent MIVN in France and Japan were evaluated. The DHI (Dizziness Handicap Inventory), SAST (Short Anxiety Screening Test), and STAI (State Trait Anxiety Index) questionnaires were used to evaluate disequilibrium and anxiety.

Results: The MIVN method appears safe and effective for patients with incapacitating MD. Pre-operative assessment results by DHI and SAST were significantly related to each other, and were influenced by lifestyle and profession. This prospective study showed that MIVN improved dizziness and anxiety in these patients.

Keywords:

Disclosure statement

This study received no funding in the form of grants or industrial support. The authors report no conflicts of interest.

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How minimally invasive vestibular neurotomy for incapacitating Meniere’s disease improves dizziness and anxiety

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How minimally invasive vestibular neurotomy for incapacitating Meniere’s disease improves dizziness and anxiety

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