Speciality
Spotlight

 




 

Otolaryngology


 

    

  




Ear
– Neurosurgery

   

  • Huang
    T-S (Chang Gung
    Univ, Taipei,
    Taiwan, Republic
    of China)


    Three New
    Surgeries for
    Treatment of
    Intractable
    Meniere’s
    Disease


    Am J Otol
    20: 233 –2 37,
    1999    

      


    Recurrence
    of symptoms of
    Meniere’s
    Disease after sac
    surgery is seen
    possibly due to
    perisaccullar
    fibrosis.


      


    The
    author has very
    wide experience in
    treating
    Meniere’s
    Disease and has
    done in thousands
    of patients. 
    Now he
    describes his
    techniques with
    three different
    procedures and
    assessed the
    lsymptomology
    after 1 year in
    three
    groups: 

       

    Group I 
      
    51 cases. 
    Huang/Gibson
    shunt
    implantations

    Group II – 
    52 cases.
    Intraductal
    capillary tube
    implantations (ICTIs)

    Group III- 
    26 cases.
    Combination of
    ICTI and
    Endolymphatic sac
    ballooning
    surgeries (ESBSs)

        


    Although, no
    significant
    differences in
    each category of 3
    groups – ICTI
    and ESBSs (group
    III) produced best
    results. 
    (Group I)
    Huang.Gibson
    Implantation – produced second
    best 
    only ICTI -
    third best
    (Group II).

          


    At one year
    vertigo
    control               
    in Group I
    – 94.3%


      
    With
    no recurrence                        
    in Group II
    – 88.5%


                                                            
     In
    Group III- 96.1%

          

    Hearing
    Improvement               
           
    Group I -
    23.5% worsened in
    11.8%


                                                             
     Group
    II – 15.4%
    worsened in 21.1%


                                                             
     Group
    III – 26.9%
    worsened in 7.7%

          

    The
    principle of the
    procedure is
    important and the
    results are good
    in 94% vertigo
    control, the most
    difficult symptom
    to control.

          

 



 

Speciality Spotlight

 

    
  

Ear – Neurosurgery
   

  • Huang T-S (Chang Gung Univ, Taipei, Taiwan, Republic of China)
    Three New Surgeries for Treatment of Intractable Meniere’s Disease

    Am J Otol 20: 233 –2 37, 1999    
      

    Recurrence of symptoms of Meniere’s Disease after sac surgery is seen possibly due to perisaccullar fibrosis.
      
    The author has very wide experience in treating Meniere’s Disease and has done in thousands of patients.  Now he describes his techniques with three different procedures and assessed the lsymptomology after 1 year in three groups: 
       
    Group I     51 cases.  Huang/Gibson shunt implantations
    Group II –  52 cases. Intraductal capillary tube implantations (ICTIs)
    Group III-  26 cases. Combination of ICTI and Endolymphatic sac ballooning surgeries (ESBSs)
        
    Although, no significant differences in each category of 3 groups – ICTI and ESBSs (group III) produced best results.  (Group I) Huang.Gibson Implantation – produced second best  only ICTI - third best (Group II).
          
    At one year vertigo control                in Group I – 94.3%

      
    With no recurrence                         in Group II – 88.5%
                                                            
     In Group III- 96.1%
          
    Hearing Improvement                        Group I - 23.5% worsened in 11.8%

                                                             
     Group II – 15.4% worsened in 21.1%
                                                             
     Group III – 26.9% worsened in 7.7%
          
    The principle of the procedure is important and the results are good in 94% vertigo control, the most difficult symptom to control.
          

 

 

By |2022-07-20T16:43:28+00:00July 20, 2022|Uncategorized|Comments Off on Ear – Neurosurgery

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