Yang F, Song R D, Liu W, Zhang H D, Liu Y
Department of Otolaryngology, the Second Central Hospital of Baoding City, Zhuozhou, 72750, China.
Department of Otorhinolaryngology Head and Neck Surgery, Navy General Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jan 20;31(2):127-129. doi: 10.13201/j.issn.1001-1781.2017.02.011.
To introduce and discuss a surgical technique, i.e. lateral and posterior semicircular canal plugging with endolymphatic sac decompression, to treat intractable Meniere's disease.Thirty-three cases of intractable Meniere's disease were enrolled. All cases were performed under general anesthesia. The endolymphatic sac was decompressed and the bone of lateral and posterior canal were drilled to create a fenestra followed by soft tissue plugging into the canal.All cases had no facial palsy, no total defness, no vertical after surgery. In the period of following up, the attack of Meniere's disease was completely controlled and the hearing loss happened for 6 case one week after operation. One case had sudden hearing loss with vertical and result of defness.The design of this surgical procedure was based on relieving endolymphatic press and controlling the nerve pulse transmission. The surgical technique was reliable for lateral and posterior semicircular canal plugging with endolymphatic sac decompression.
介绍并讨论一种手术技术，即内淋巴囊减压联合外侧和后半规管堵塞术，用于治疗难治性梅尼埃病。纳入33例难治性梅尼埃病患者。所有病例均在全身麻醉下进行。对内淋巴囊进行减压，钻开外侧和后半规管的骨质以形成一个小孔，随后将软组织填入该半规管。所有病例术后均无面瘫、无全聋、无垂直性眼震。在随访期间，梅尼埃病发作得到完全控制，6例患者术后1周出现听力损失。1例患者突发听力损失伴垂直性眼震及耳聋。该手术设计基于减轻内淋巴压力并控制神经冲动传导。内淋巴囊减压联合外侧和后半规管堵塞术这种手术技术是可靠的。
