5.　メニエール病の外科治療

DOI 参考文献19件

書誌事項

タイトル別名
  • Surgical treatments of intractable Meniere's disease
  • Surgical treatments of intractable Meniere^|^apos;s disease
公開日
2014
DOI
  • 10.3757/jser.73.8
公開者
一般社団法人 日本めまい平衡医学会

この論文をさがす

説明

Meniere's disease is characterized by intermittent episodes of vertigo lasting from minutes to hours, with fluctuating sensorineural hearing loss, tinnitus, and aural pressure. The primary histopathological correlate is endolymphatic hydrops. Several medical and surgical treatments have been offered to patients with Meniere's disease. It has been confirmed that no one effective treatment is available for these patients. According to the severity of the patients' symptoms, appropriate therapeutic strategies should be selected. If medical therapies including lifestyle change, diuretics, and local/systemic steroids have failed, then surgical approaches such as intratympanic gentamicin perfusion (GM), pressure pulse treatment with Meniett®, endolymphatic sac surgery (ESS) and vestibular neurectomy (VN) should be considered. Most reviews have reported relative good (80-100%) vertigo control rates with either GM, Meniett®, ESS, or VN, however, recurrence of vertigo has been noticed in certain cases. A combination of medical and surgical strategies should be recommended and the treatment algorithm for Meniere's disease indicated in “2011 Clinical practice guidelines for Meniere's disease” must be adopted.

収録刊行物

参考文献 (19)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ