[The investigation of operative treatment of Ménière's disease].

OBJECTIVE

To investigate the clinical effect of the operations in the treatment of Meniere's disease.

METHOD: Twenty-one patients with Meniere's disease were treated by the operation of decompression of the endolymphatic sac. Nine patients were treated by vestibular neurectomy via retrosigmoid sinus approach. The follow-up time was between 3 and 6 years.

RESULT: In 21 patients by the operation of decompression of the endolymphatic sac, vertigo was completely controlled in 11 cases, substantially controlled in 4, limitedly controlled in 4 and not controlled in 2. In 9 patients underwent vestibular neurectomy via retrosigmoid sinus approach, vertigo was completely controlled.

CONCLUSION

Endolymphatic sac surgery is the first way in the operative treatments of Meniere's disease. The operation of vestibular neurectomy should be adopted only in the patients who have failed after the operation of endolymphatic sac surgery or have lost the working ability substantially.