Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (8): 30-33.doi: 10.6040/j.issn.1671-7554.0.2021.1171

Previous Articles     Next Articles

Comparison of the efficacy between semicircular canal plugging and labyrinthectomy for intractable Menieres disease

TIAN Chaoqun1, LYU Yafeng1, LI Xiaofei1, SONG Yongdong1, KONG Ligang1, FAN Zhaomin1, WANG Haibo, ZHANG Daogong   

  1. Department of Vertigo Disease, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, Shandong, China
  • Published:2022-07-27

PDF (PC)

278

Abstract: Objective To compare the long-term efficacy of semicircular canal plugging(SCP)versus labyrinthectomy in the treatment of intractable Menieres disease(MD). Methods A total of 70 MD patients with complete medical document who underwent SCP(n=56)and labyrinthectomy(n=14)in our hospital during March 2015 and March 2016 were retrospectively analyzed. The outcomes after two-year follow-up were compared. Results The total rate of vertigo control in the SCP group was 96.4%(54/56), with 45 cases(80.4%)of class A control and 9(16.1%)of class B control, while the total rate of vertigo control in the labyrinthectomy group was 100%(14/14), and all cases had class A control, with no significant difference between the two groups(P>0.05). The rat of hearing loss in the SCP group was 28.6%(16/56), while all cases in the labyrinthectomy group lost their hearing(14/14), and the rate was lower in the SCP group than in the labyrinthectomy group(P<0.001). There were no significant differences in the abnormality rates of cVEMP and oVEMP in the SCP group before and after surgery(P>0.05), while the differences were significant in the labyrinthectomy group(P=0.014; P=0.006). The time of balance recovery was(16.5±5.19 )days in the SCP group and(25.07±7.87)days in the labyrinthectomy group, which was significantly different(P<0.001). Conclusion SCP is more effective than labyrinthectomy in the treatment of intractable advanced MD.

Key words: Semicircular canal plugging, Labyrinthectomy, Ménières disease, Surgery, Vertigo

CLC Number: 

  • R764.33
[1] Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China [J]. Lancet, 2020, 395(10223): 497-506.
[2] De Luca P, Cassandro C, Ralli M, et al. Dietary restriction for the treatment of Menieres disease [J]. Transl Med UniSa, 2020, 22: 5-9. eCollection 2020 May.
[3] Espinosa-Sanchez JM, Lopez-Escamez JA. The pharmacological management of vertigo in Menieres disease [J]. Expert Opin Pharmacother, 2020, 1(14): 1753-1763
[4] Sajjadi H, Paparella MM. Menieres disease [J]. Lancet, 2008, 372(9636): 406-414.
[5] Zhang D, Lv Y, Han Y, et al. Long-term outcomes of triple semicircular canal plugging for the treatment of intractable Menieres disease: a single center experience of 361 cases [J]. J Vestib Res, 2019, 29(6): 315-322.
[6] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉科学分会. 梅尼埃病的诊断依据和疗效评估(2006年,贵阳)[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(3): 163-172.
[7] Zhang D, Fan Z, Han Y, et al. Triple semicircular canal plugging: a novel modality for the treatment of intractable Menieres disease [J]. Acta Otolaryngol, 2016, 136(12): 1230-1235.
[8] Zhang D, Fan Z, Han Y, et al. Long-term efficacy of triple semicircular canal occlusion in the treatment of intractable Menieres disease [J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2015, 50(9): 733-737.
[9] Sood AJ, Lambert PR, Nguyen SA, et al. Endolymphatic sac surgery for Menieres disease: a systematic review and meta-analysis [J]. Otol Neurotol, 2014, 35(6): 1033-1045.
[10] Cooper MW, Kaylie DM. Is Endolymphatic sac surgery beneficial for Menieres disease [J]. Laryngoscope, 2020, 130(12): 2738-2739.
[11] Pang B, Costeloe A, Jackson NM, et al. Incidence of developing contralateral Menieres disease in patients undergoing transmastoid labyrinthectomy for unilateral Menieres disease [J]. Ear Nose Throat J, 2021, 100(2): 86-89.
[12] Bergmark RW, Semco RS, Abdul-Aziz D, et al. Transmatoid labyrinthectomy for Menières disease: experience and outcomes [J]. Otol Neurotol, 2020, 41(10): 1413-1418.
[13] Scarpa A, Ralli M, De Bonis E, et al. Pharmacological, surgical and diagnostic innovations in Menieres disease: a review [J]. Transl Med UniSa, 2020, 1(23): 48-52.
[14] Kitahara T. Evidence of surgical treatments for intractable Menieres disease [J]. Auris Nasus Larynx, 2018, 45(3): 393-398.
[15] Deveze A, Montava M, Lopez C, et al. Vestibular compensation following vestibular neurotomy [J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2015, 132(4): 197-203.
[16] Lyu Y, Zhang D, Li X, et al. Dexamethasone protects the hearing of Menieres disease patients after triple semicircular canal plugging [J]. Acta Otolaryngol, 2020, 140(10): 803-807.
[17] Li X, Lv Y, Wang R, et al. Intraoperative auditory brainstem response monitoring during semicircular canal plugging surgery in treatment of Menieres disease [J]. Acta Otolaryngol, 2021, 141(1): 73-77.
[18] Lee HJ, Lee JM, Shim DB, et al. Is early progression to bilateral involvement in Menieres disease a poor prognostic indicator? [J]. Otol Neurotol, 2019, 40(10): 1333-1338.
[19] Zhang D, Lv Y, Han Y, et al. Revision surgery after triple semicircular canal plugging and morphologic changes of vestibular organ [J]. Sci Rep, 2019, 9(1): 19397. doi: 10.1038/s41598-019-55810-7.
[20] Yu Z, Mcintosh JM, Sadeghi SG, et al. Efferent synaptic transmission at the vestibular type II hair cell synapse [J]. J Neurophysiol, 2020, 124(2): 360-374.
[21] Wijesinghe R, Camp A. The intrinsic plasticity of medial vestibular nucleus neurons during vestibular compensation-a systematic review and meta-analysis [J]. Syst Rev, 2020, 9(1):145. doi: 10.1186/s13643-020-01399-2.
[22] Mao DH, He ZM, Xuan W, et al. Effect and mechanism of BDNF/TrkB signaling on vestibular compensation [J]. Bioengineered. 2021, 12(2): 11823-11836.
[23] Dutia MB. Mechanisms of vestibular compensation: recent advances [J]. Curr Opin Otolaryngol Head Neck Surg, 2010, 18(5): 420-424.
[24] Fukuda J, Matsuda K, Sato G, et al. Effects of betahistine on the development of vestibular compensation after unilateral labyrinthectomy in rats [J]. Brain Sci, 2021, 11(3): 360. doi: 10.3390/brainsci11030360.
[25] Smith PF. Why the cerebellar shutdown/clampdown hypothesis of vestibular compensation is inconsistent with neurophysiological evidence [J]. J Vestib Res, 2020, 30(5): 295-303.
[1] GAO Zhongxia, ZHANG Ming, FAN Mingde, TAN Chenyang, WANG Mengdi, WANG Chao, FAN Yuefei, DING Shouluan, WANG Chengwei. Efficacy and prognostic factors of gamma knife in treating 81 cases of brain metastases from lung cancer [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 44-49.
[2] FU Jia, WANG Lulu, HU Shuai, CHEN Zheping, LIU Dongyi, LI Qingsong, LU Guodong, ZHANG He, ZHAO Xin, FENG Chang. Effects of different approaches of quadrates lumborum block on postoperative recovery of patients undergoing radical gastrectomy [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 50-57.
[3] ZHANG Xinmei, XU Ping. Surgical treatment strategies of adenomyosis [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 26-31.
[4] YAO Xue, LU Ranran, SUN Shuling, GAO Cuiping, XIAO Ru, WANG Shuhui. Establishment of a risk prediction scoring model for nosocomial infection in rheumatic heart disease patients after valve replacement surgery [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 90-96.
[5] SUN Zhenguo, TIAN Hui. Optimization of the procedures in minimally invasive esophagectomy: the Qilu practices [J]. Journal of Shandong University (Health Sciences), 2022, 60(11): 33-37.
[6] GAO Shugeng. Application of enhanced recovery after surgery in perioperative management of lung cancer [J]. Journal of Shandong University (Health Sciences), 2022, 60(11): 1-10.
[7] HAN Dingpei, YAN Yue, CAO Yuqin, SUN Xin, HU Yanxia, WANG Minxian, LUO Yan, SHI Yongmei, XIE Qing, HANG Junbiao, LI Hecheng. Expert consensus of Ruijin Hospital on the concept of enhanced recovery after surgery in the clinical practice of thoracic surgery [J]. Journal of Shandong University (Health Sciences), 2022, 60(11): 11-16.
[8] CHE Guowei. It is necessary for enhanced recovery after surgery to keep pace with the times [J]. Journal of Shandong University (Health Sciences), 2022, 60(11): 17-22.
[9] PENG Yue, LIU Lei, LI Yuan, BIE Fenglong, ZHOU Bolun, LI Runze, JI Ying, BAI Guangyu, TAN Fengwei, GAO Yushun, MU Juwei, XUE Qi, QIU Bin, GAO Shugeng. Comprehensive application of anatomical partial lobectomy and enhanced recovery after surgery [J]. Journal of Shandong University (Health Sciences), 2022, 60(11): 44-53.
[10] DING Zichen, WANG Haohua, ZHOU Liwen, CONG Huiwen, LI Chengsheng, BAO Qihan, YANG Yi, WANG Lianyuan, WANG Suzhen, SHI Fuyan. Study on the individualized efficacy for non-small cell lung cancer patients based on Bayesian Additive Regression Tree model [J]. Journal of Shandong University (Health Sciences), 2022, 60(10): 92-98.
[11] LI Mingbo, HUANG Yanbo, REN Dongcheng, LIU Juncheng, TAN Chengshuang, XU Jixi, DING Jinyong. Afinite element analysis of three different fusion methods of lumbar internal fixation [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 55-64.
[12] ZHONG Mingwei, HU Sanyuan. Exploration of surgical treatment of obesity by laparoscopic techniques in China [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 72-77.
[13] YANG Jun. Medico-engineering cooperation: a strategic plateau of neurosurgery innovation and development in the era of precision medicine [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 83-88.
[14] WANG Zhe, LIU Yujie, MAO Qian, GUAN Peixia, BAO Qihan, LI Chengsheng, QIAO Xiaowei, PAN Qingzhong, WANG Suzhen. Evaluation of the efficacy of different regimens for early triple negative breast cancer based on the inverse probability of treatment weighting method [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 113-118.
[15] LIU Xueyan, WANG Guangpeng, YAO Xue, LU Ranran, WANG Shuhui. Analysis of economic burden and length of hospital stay of nosocomial infection in neurosurgery patients [J]. Journal of Shandong University (Health Sciences), 2021, 59(10): 89-95.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] SUO Dongyang, SHEN Fei, GUO Hao, LIU Lichang, YANG Huimin, YANG Xiangdong. Expression and mechanism of Tim-3 in animal model of drug-induced acute kidney injury[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 1 -6 .
[2] MA Qingyuan, PU Peidong, HAN Fei, WANG Chao, ZHU Zhoujun, WANG Weishan, SHI Chenhui. Effect of miR-27b-3p regulating SMAD1 on osteosarcoma cell proliferation, migration and invasion[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 32 -37 .
[3] ZHANG Baowen, LEI Xiangli, LI Jinna, LUO Xiangjun, ZOU Rong. miR-21-5p targeted TIMP3 to inhibit proliferation and extracellular matrix accumulation of mesangial cells in Type II diabetic nephropathy mice[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 7 -14 .
[4] FU Jieqi, ZHANG Man, ZHANG Xiaolu, LI Hui, CHEN Hong. Molecular mechanism of Toll-like receptor 4 in the aggravation of blood lipid accumulation by inhibiting the peroxisome proliferator-activate receptor γ[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 24 -31 .
[5] LONG Tingting, XIE Ming, ZHOU Lu, ZHU Junde. Effect of Noggin protein on learning and memory abilities and the dentate gyrus structure after cerebral ischemia reperfusion injury in mice[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 15 -23 .
[6] LI Ning, LI Juan, XIE Yan, LI Peilong, WANG Yunshan, DU Lutao, WANG Chuanxin. Expression of LncRNA AL109955.1 in 80 cases of colorectal cancer and its effect on cell proliferation, migration and invasion[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 38 -46 .
[7] XU Yuxiang, LIU Yudong, ZHANG Peng, DUAN Ruisheng. A retrospective analysis of risk factors of cerebral microbleeds in 101 patients with cerebral small vessel disease[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 67 -71 .
[8] DING Xiangyun, YU Qingmei, ZHANG Wenfang, ZHUANG Yuan, HAO Jing. Correlation of the expression of insulin-like growth factor II in granulosa cells and ovulation induction outcomes of 84 patients with polycystic ovary syndrome[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 60 -66 .
[9] XIAO Juan, XIAO Qiang, CONG Wei, LI Ting, DING Shouluan, ZHANG Yuan, SHAO Chunchun, WU Mei, LIU Jianing, JIA Hongying. Comparison of diagnostic efficacy of two kinds of thyroid imagine reporting and data systems[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 53 -59 .
[10] SHI Shuang, LI Juan, MI Qi, WANG Yunshan, DU Lutao, WANG Chuanxin. Construction and application of a miRNAs prognostic risk assessment model of gastric cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 47 -52 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd