Endoscopic tenotomy in Ménière's disease: is it effective?

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.