The Journal of laryngology and otology · 2025
Endoscopic tenotomy in Ménière's disease: is it effective?
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El-Kholy Noha Ahmed, Salem Mohammed Abdelbadie, Ghonim Mohamed Rashad, Gavilán Javier
Аннотация
OBJECTIVES: This study aims to report our experience with endoscopic tenotomy in treatment of Ménière's disease as its reported role in literature is still controversial.
METHODS: Patients diagnosed with unilateral definite Ménière's disease and underwent endoscopic tenotomy of middle-ear muscles in our tertiary care centre were retrospectively evaluated. Pure tone average, frequency of vertiginous attacks, functional level, tinnitus scale and Dizziness Handicap Inventory were compared pre-operatively and post-operatively.
RESULTS: Twenty-eight cases were included in the study with an average age of 50.78 ± 12.16 years. At the 2-year follow-up period, 16 cases (57.14 per cent) achieved complete control of vertigo, 5 cases (17.85 per cent) had substantial vertigo control, and 3 cases (10.71 per cent) had limited control. Significant improvement in Dizziness Handicap Inventory and functional level also was found post-operatively.
CONCLUSION: Endoscopic tenotomy for Ménière's disease is easy and simple with no serious complications, but its relatively low results of absolute vertigo control limit its consideration as a definitive treatment.
METHODS: Patients diagnosed with unilateral definite Ménière's disease and underwent endoscopic tenotomy of middle-ear muscles in our tertiary care centre were retrospectively evaluated. Pure tone average, frequency of vertiginous attacks, functional level, tinnitus scale and Dizziness Handicap Inventory were compared pre-operatively and post-operatively.
RESULTS: Twenty-eight cases were included in the study with an average age of 50.78 ± 12.16 years. At the 2-year follow-up period, 16 cases (57.14 per cent) achieved complete control of vertigo, 5 cases (17.85 per cent) had substantial vertigo control, and 3 cases (10.71 per cent) had limited control. Significant improvement in Dizziness Handicap Inventory and functional level also was found post-operatively.
CONCLUSION: Endoscopic tenotomy for Ménière's disease is easy and simple with no serious complications, but its relatively low results of absolute vertigo control limit its consideration as a definitive treatment.