Background: Endolymphatic sac
decompression surgery (ESDS) is commonly used for intractable
Meniere's disease, but its effect remains controversial because of the low rate of
vertigo control.Objectives: In the present study, we examined ESDS combined with posterior tympanotomy with local
steroids as a new therapeutic strategy for intractable
Meniere's disease.Materials and methods: This retrospective study enrolled 19 patients with
Meniere's disease using ESDS combined with posterior tympanotomy with local
steroids between 2015 and 2018. Postoperatively we recorded and evaluated changes in
vertigo attack frequency and hearing level.Results:
Vertigo episodes decreased from 3.6 ± 3.2 times preoperatively to 0.2 ± 0.5 times postoperatively, with 89.5% complete
vertigo control rate. Mean PTA decreased from 40.5 ± 21.3 dB to 39.5 ± 17.5 dB postoperatively, with 21.1% improvement rate.Conclusions and significance: The present findings suggest that ESDS combined with posterior tympanotomy with local
steroids could improve clinical results of hearing as well as
vertigo control for intractable
Meniere's disease.