Best surgery to relieve intractable vertigo in Meniere’s disease
Meniere’s disease is a chronic inner ear disorder characterized by episodes of vertigo (spinning sensation), fluctuating hearing loss, tinnitus (ringing in the ear), and a sensation of fullness or pressure in the affected ear. When medical management fails to control symptoms, surgical interventions may be considered to relieve intractable vertigo associated with Meniere’s disease.
One of the surgical options used to relieve intractable vertigo in Meniere’s disease is called “endolymphatic sac decompression (ESD) surgery.” Endolymphatic sac decompression involves creating a small opening in the endolymphatic sac, a structure within the inner ear that regulates fluid balance. By decompressing the endolymphatic sac, surgeons aim to reduce the pressure of excess fluid buildup within the inner ear, which is thought to contribute to the symptoms of Meniere’s disease.
Endolymphatic sac decompression surgery may be performed alone or in combination with other procedures, such as shunt placement or vestibular nerve section, depending on the individual patient’s symptoms and response to conservative treatments.
It’s essential to note that surgical interventions for Meniere’s disease are typically reserved for patients who have failed to respond adequately to medical management, including dietary modifications, medication (such as diuretics and vestibular suppressants), and vestibular rehabilitation therapy. Additionally, the decision to undergo surgery should be made in consultation with a qualified otolaryngologist (ear, nose, and throat specialist) or neurotologist who can evaluate the patient’s specific condition and recommend the most appropriate treatment approach based on individual factors and preferences.
As with any surgical procedure, there are potential risks and complications associated with endolymphatic sac decompression surgery, and patients should discuss these with their healthcare provider before making a decision about treatment.