How minimally invasive vestibular neurotomy for incapacitating Meniere's disease improves dizziness and anxiety.
作者信息
Miyazaki Hidemi, Nomura Yasuyuki, Mardassi Ali, Deveze Arnaud, Miura Masahiro, Jike Maki, Magnan Jacques
机构信息
a Department of Otolaryngology , Tokyo Kyosai Hospital , Tokyo , Japan.
b Department of Otolaryngology , Tokyo Women's Medical University Medical Center East , Tokyo , Japan.
出版信息
Acta Otolaryngol. 2017 Jul;137(7):707-711. doi: 10.1080/00016489.2017.1278790. Epub 2017 Jan 26.
CONCLUSION
Patients with incapacitating Meniere Disease (MD) suffer in their daily lives and activities because of the dizziness and anxiety induced by MD. Minimally Invasive Vestibular Neurotomy (MIVN) is a safe and effective surgical treatment for these individuals, and improved their dizziness and anxiety.
OBJECTIVES
This study aimed to assess the state of dizziness and anxiety of patients with incapacitating MD and its improvement through MIVN.
METHOD
A total of 118 patients with incapacitating MD who underwent MIVN in France and Japan were evaluated. The DHI (Dizziness Handicap Inventory), SAST (Short Anxiety Screening Test), and STAI (State Trait Anxiety Index) questionnaires were used to evaluate disequilibrium and anxiety.
RESULTS
The MIVN method appears safe and effective for patients with incapacitating MD. Pre-operative assessment results by DHI and SAST were significantly related to each other, and were influenced by lifestyle and profession. This prospective study showed that MIVN improved dizziness and anxiety in these patients.
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