Abstract | OBJECTIVES: METHODS: Between 1998 and 2009, we enrolled and assigned 286 intractable Meniere's patients to two groups: group-I (G-I) included patients who underwent endolymphatic sac drainage with steroid instillation and group-II (G-II) included those who declined endolymphatic sac drainage. Definitive spells and hearing improvement in these two groups were determined for 2-13 years after treatment. RESULTS: According to the established criteria, vertigo was completely controlled in 88% of patients in G-I in the 2nd year, in 73% in the 12th year and in 70% in the 13th year. These results in G-I were significantly better than those in G-II for 13 years after treatment. Hearing was improved in 49% of patients in G-I in the 2nd year, in 27% in the 12th year and in 25% in the 13th year. These results in G-I were significantly better than those in G-II for 12 years after treatment, but this was not significant in the 13th year. CONCLUSIONS: Endolymphatic sac drainage with intra-endolymphatic sac application of large doses of steroids could improve long-term follow-up results of hearing as well as vertigo control. This means that the drainage with local steroids could also improve patients' long-term quality in the prime of life.
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Authors | Tadashi Kitahara, Munehisa Fukushima, Atsuhiko Uno, Takao Imai, Yumi Ohta, Tetsuo Morihana, Takefumi Kamakura, Arata Horii, Hidenori Inohara |
Journal | Auris, nasus, larynx
(Auris Nasus Larynx)
Vol. 40
Issue 5
Pg. 425-30
(Oct 2013)
ISSN: 1879-1476 [Electronic] Netherlands |
PMID | 23273764
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2012 Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
- Anti-Inflammatory Agents
- Prednisolone
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Topics |
- Administration, Topical
- Adult
- Aged
- Anti-Inflammatory Agents
(therapeutic use)
- Drainage
(methods)
- Endolymphatic Sac
(surgery)
- Female
- Hearing Loss, Sensorineural
(etiology, therapy)
- Humans
- Longitudinal Studies
- Male
- Meniere Disease
(complications, therapy)
- Middle Aged
- Prednisolone
(therapeutic use)
- Treatment Outcome
- Vertigo
(etiology, therapy)
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