Endoscopic Approach for Intractable Meniere’s Disease

By June 7, 2019

Lee, Se A1; Lee, Jong Dae2
1 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea;
2 Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea.

Meniere’s disease is an inner ear disease, characterized by recurrent vertigo, hearing loss, and tinnitus. There are some cases of frequent vertigo attacks even though the continuous medical treatment, intratympanic steroid injection and chemical ablation are conducted.

We report the case of a 56-year-old man with intractable Meniere’s disease. The patient presented  with recurrent vertigo even though all the standard treatments were tried. He showed a profound hearing loss after repeated chemical ablation. So we performed a novel surgical procedure by removing stapes and perilymph and applying gentamicin through an oval window via the endoscopic approach.

Discussion & Conclusion:
The patient showed no vertigo attack during the 1-year follow-up after surgery. Our novel procedure can be another treatment option of intractable Meniere’s disease with a non-serviceable hearing loss instead of vestibular nerve section and transmastoid labyrinthectomy.