Changes of Vestibular Symptoms in Menière's Disease After Triple Semicircular Canal Occlusion: A Long-Term Follow-Up Study

Yumeng Jiang; Yumeng Jiang; Yumeng Jiang; Maoxiang Xu; Maoxiang Xu; Maoxiang Xu; Qingxiu Yao; Qingxiu Yao; Qingxiu Yao; Zhuangzhuang Li; Zhuangzhuang Li; Zhuangzhuang Li; Yaqin Wu; Yaqin Wu; Yaqin Wu; Zhengnong Chen; Zhengnong Chen; Zhengnong Chen; Dongzhen Yu; Dongzhen Yu; Dongzhen Yu; Haibo Shi; Haibo Shi; Haibo Shi; Shankai Yin; Shankai Yin; Shankai Yin

doi:10.3389/fneur.2022.797699

Frontiers in Neurology (Feb 2022)

Changes of Vestibular Symptoms in Menière's Disease After Triple Semicircular Canal Occlusion: A Long-Term Follow-Up Study

Yumeng Jiang,
Yumeng Jiang,
Yumeng Jiang,
Maoxiang Xu,
Maoxiang Xu,
Maoxiang Xu,
Qingxiu Yao,
Qingxiu Yao,
Qingxiu Yao,
Zhuangzhuang Li,
Zhuangzhuang Li,
Zhuangzhuang Li,
Yaqin Wu,
Yaqin Wu,
Yaqin Wu,
Zhengnong Chen,
Zhengnong Chen,
Zhengnong Chen,
Dongzhen Yu,
Dongzhen Yu,
Dongzhen Yu,
Haibo Shi,
Haibo Shi,
Haibo Shi,
Shankai Yin,
Shankai Yin,
Shankai Yin

Affiliations

Yumeng Jiang: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Yumeng Jiang: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Yumeng Jiang: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Maoxiang Xu: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Maoxiang Xu: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Maoxiang Xu: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Qingxiu Yao: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Qingxiu Yao: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Qingxiu Yao: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Zhuangzhuang Li: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Zhuangzhuang Li: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Zhuangzhuang Li: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Yaqin Wu: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Yaqin Wu: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Yaqin Wu: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Zhengnong Chen: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Zhengnong Chen: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Zhengnong Chen: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Dongzhen Yu: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Dongzhen Yu: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Dongzhen Yu: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Haibo Shi: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Haibo Shi: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Haibo Shi: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China
Shankai Yin: Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
Shankai Yin: Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China
Shankai Yin: Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China

DOI: https://doi.org/10.3389/fneur.2022.797699
Journal volume & issue: Vol. 13

Abstract

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BackgroundThe clinical efficacy of triple semicircular canal occlusion (TSCO) and vestibular nerve resection (VNS) for patients with Ménière's disease has been unclear.ObjectiveTo explore changes in vestibular symptoms after TSCO and its advantages compared to the classical operation of VNS in patients with Menière's disease.MethodsIn total, 36 patients with Menière's disease performed TSCO or VNS at Shanghai Jiao Tong University Affiliated Sixth People's Hospital, China from May 2005 to July 2021, and all of them were enrolled in our study. Twelve of them underwent TSCO, 23 underwent VNS, and 1 had both treatments. We compared the demographic parameters, clinical symptoms, and selected test results between the two surgical methods. Ten patients each who underwent TSCO and VNS completed the follow-up. We collected and compared data pertaining to changes in vestibular symptoms.ResultsNo significant difference in demographic parameters, clinical symptoms, or auditory or vestibular test results was detected between the two groups preoperatively. The TSCO group with vertigo as the main complaint experienced less residual paroxysmal dizziness after surgery than the VNS group (P = 0.020). Also, 57% of the patients in the VNS group had unsteadiness after surgery, while no such problems were reported in the TSCO group (P = 0.025).ConclusionsOur study shows that TSCO controls vertigo in most Menière's disease patients, and also has the advantage of lower rates of postoperative paroxysmal dizziness and unsteadiness than VNS. Thus, TSCO may be an effective surgery for refractory Menière's disease.

Published in Frontiers in Neurology

ISSN: 1664-2295 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: https://www.frontiersin.org/journals/neurology/

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