Endolymphatic duct blockage for refractory Ménière's disease: assessment of intraoperative CSF leak on short-term surgical outcomes.

Abstract:

BACKGROUND:Endolymphatic sac decompression has shown limited success for the treatment of Ménière's disease (MD). We have published a novel technique with very promising results for the treatment of refractory MD: the Endolymphatic Duct Blockage (EDB) with two titanium clips. One of the challenges of this technique was an increased incidence of intraoperative Cerebrospinal Fluid (CSF) Leak. OBJECTIVE:To assess the effect of intraoperative CSF Leak on short-term surgical outcomes. METHODS:Retrospective comparative study in a tertiary care center (61 patients). MD patients who underwent EDB were included. Intraoperative CSF Leaks were documented. Surgical outcomes assessed were the presence of postoperative Benign Paroxysmal Positional Vertigo (BPPV), aural fullness, tinnitus, vertigo spells and pure tone average (PTA), speech discrimination scores (SDS) and bone conduction thresholds (BCT). Data were collected for these visits: preoperative, 1 week, 1 and 6 months postoperatively. RESULTS:Outcomes for the CSF Leak group (CSF +) (n = 22) were compared to remaining patient (CSF-) (n = 39). There was no significant difference in the occurrence of postoperative BPPV, aural fullness, tinnitus and vertigo spells. There was no significant difference in PTA, BCT or SDS between our groups at any visit. CONCLUSIONS:Intraoperative CSF Leak may cause a temporary non-significant worsening of hearing in the first-month postoperatively without any difference at 6 months.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Saliba I,Asmar MH

doi

10.1080/00016489.2018.1481524

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

886-892

issue

10

eissn

0001-6489

issn

1651-2251

journal_volume

138

pub_type

杂志文章
  • Size of the mastoid air cell system obtained with two types of X-ray equipment.

    abstract::The first systematically performed study concerning the size variation of the mastoid air cell system was measured on the X-ray film in a lateral projection, as exposed on the skull table. A new type of equipment (Orbix) with an isocentric motion of the roentgen tube and the film cassette and a different magnification...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488309130921

    authors: Lindeman P,Haglund M

    更新日期:1983-01-01 00:00:00

  • Histopathologic assessment of fungal involvement of the paranasal sinuses in Turkey.

    abstract:OBJECTIVE:To assess paranasal sinus material histopathologically for the presence of fungus. MATERIAL AND METHODS:Paraffin-embedded archival biopsy samples of patients who underwent endonasal sinus surgery between 1992 and 2002 were retrospectively assessed for the presence of fungi. Hematoxylin-eosin-stained sections...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480310001222

    authors: Erkiliç S,Aydin A,Bayazit YA,Güldür E,Deniz H,Bayazit N,Ozer E

    更新日期:2003-04-01 00:00:00

  • Principles of cranial base ossification in humans and rats.

    abstract:CONCLUSIONS:1. The principle of bilateral symmetry depends on the chordal cartilage that is the keystone in cranial base ossification in rats and humans, due to its anatomical situation and for the production of the chordin protein that regulates the bone morphogenetic protein BMP-7. 2. In humans and in rats, foramen l...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489.2011.642814

    authors: Santaolalla-Montoya F,Martinez-Ibargüen A,Sánchez-Fernández JM,Sánchez-del-Rey A

    更新日期:2012-04-01 00:00:00

  • Doxorubicin ototoxicity is induced in mice by combination treatment with cyclosporin A.

    abstract::Although doxorubicin [adriamycin (ADM)] ototoxicity has not been detected to date, it has been reported that neurotoxicity in the central nervous system was induced by chemotherapy with ADM in patients receiving chronic cyclosporin A (CsA) treatment. ADM ototoxicity may be induced by combination therapy with CsA becau...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480152602212

    authors: Saito T,Zhang ZJ,Tokuriki M,Shibamori Y,Yamamoto T,Noda I,Ohtsubo T,Saito H

    更新日期:2001-10-01 00:00:00

  • The characteristics of monosyllable recognition in Mandarin-speaking patients with auditory neuropathy.

    abstract::Background: A set of Chinese Mandarin monosyllable test lists has been widely used in clinical diagnosis, while the performance of the Mandarin-speaking patients with auditory neuropathy (AN) in the monosyllable tests was still unknown.Objectives: To analyze the characteristics of monosyllable recognition in Mandarin-...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2020.1726459

    authors: Xu L,Chen W,Yuan S,Yang S,Ji F

    更新日期:2020-06-01 00:00:00

  • Surgical treatment of vertigo by utriculostomy: an experimental study in sheep.

    abstract::The objective of this study was to develop and test an endolabyrinthic microsurgical procedure for treatment of vertigo, the utriculostomy. This involves the application of local heat for obtaining a fistula in the membranous labyrinth, so as to establish communication between the endolymphatic and perilymphatic space...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489950180739

    authors: Lavinsky L,Goycoolea M,Gananca MM,Zwetsch Y

    更新日期:1999-01-01 00:00:00

  • Comparative ototoxicity of furosemide and piretanide.

    abstract::The purpose of these studies was to compare the ototoxicity of piretanide to that of furosemide in the chinchilla. Chinchillas weighing 400 to 700 g were anesthetized with ketamine plus pentobarbital. Endocochlear potential (EP) was measured continuously by the round window approach using glass microelectrodes. Pireta...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488609108608

    authors: Rybak LP,Whitworth C

    更新日期:1986-01-01 00:00:00

  • Gait instability in patients with acoustic neuroma.

    abstract:OBJECTIVE:To investigate pathological gait in patients with unilateral acoustic neuroma using tactile sensors placed under both feet. MATERIAL AND METHODS:Forty-three patients were enrolled in the study. They were categorized into two groups: the small tumor group had tumors < 2 cm from the porus acousticus without an...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480310000566

    authors: Ishikawa K,Wang Y,Wong WH,Shibata Y,Itasaka Y

    更新日期:2004-05-01 00:00:00

  • Auditory epithelial migration. II: Morphological evidence for auditory epidermal cell migration in rat.

    abstract::Morphology of the tympanic membrane (TM) and external auditory canal (EAC) was studied in healthy, intact rat ears. TM-perforated ears (3 days after making the perforation) and TM-perforation-healed ears (14, 28 and 42 days after making the perforation). In intact ears, the epidermis in the annular region of the EAC d...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489609137939

    authors: Kakoi H,Anniko M

    更新日期:1996-11-01 00:00:00

  • Type 2 thyroplasty for spasmodic dysphonia: fixation using a titanium bridge.

    abstract:OBJECTIVE:In order to facilitate surgery for spasmodic dysphonia, i.e. type 2 thyroplasty, a device was designed to fix the incised edges of the thyroid cartilage firmly. MATERIAL AND METHODS:Various types and sizes of titanium bridge were developed for clinical use. RESULTS:The results of surgery for spasmodic dysph...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480410016261

    authors: Isshiki N,Yamamoto I,Fukagai S

    更新日期:2004-04-01 00:00:00

  • Gene silencing with siRNA targeting E6/E7 as a therapeutic intervention against head and neck cancer-containing HPV16 cell lines.

    abstract:CONCLUSION:Our results indicate that siRNA E6 and/or E7 may have potential as a gene-specific therapy for human papillomavirus (HPV) type 16 (HPV16)-related squamous cell carcinoma of the head and neck (HNSCC). OBJECTIVES:To evaluate the effectiveness of siRNA targeting E6 and/or E7 on the in vitro and in vivo growth ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489.2013.773405

    authors: Adhim Z,Otsuki N,Kitamoto J,Morishita N,Kawabata M,Shirakawa T,Nibu K

    更新日期:2013-07-01 00:00:00

  • Integrated protocol of auricle reconstruction combined with hearing reconstruction.

    abstract:CONCLUSIONS:Auricle reconstruction combined with hearing reconstruction can help patients with microtia to obtain practical hearing improvement as well as cosmetic improvement. The integrated procedures can facilitate the incision design and obtain a natural-looking three-dimensional shape of the reconstruction auricle...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489.2012.662716

    authors: Zhao S,Wang D,Han D,Gong S,Ma X,Li Y,Chen S

    更新日期:2012-08-01 00:00:00

  • The effect of maxillary sinus surgery on its development.

    abstract:CONCLUSION:The study showed that surgery in the maxillary sinus can affect its development. OBJECTIVE:To quantitatively evaluate the long-term impact of sinus surgery on its development in the rabbit. MATERIALS AND METHODS:This was an experimental study performed at an academic tertiary medical center using 20 4-week...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480701596039

    authors: Bahadir O,Bahadir A,Kosucu P,Livaoglu M

    更新日期:2008-05-01 00:00:00

  • Evidence of direct communication of bone marrow cells with the endolymphatic sac in experimental autoimmune labyrinthitis.

    abstract::In experimental autoimmune labyrinthitis, we found that the guinea pigs sensitized with bovine inner ear antigen (IEAg) developed cellular infiltration within the endolymphatic sac (E. sac). In this study, we investigated the distribution of immune mediated cells within bony vascular channels. The channels, which are ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489309135786

    authors: Yamanobe S,Harris JP,Keithley EM

    更新日期:1993-03-01 00:00:00

  • Study on the dye leakage response of nasal mucosa following topical, capsaicin challenge in guinea pigs.

    abstract::We examined the serial changes of intravenously applied dye leakage and preliminary examined histamine release into nasal lavage fluid after topical stimulation with capsaicin in guinea pigs. A significant increase in the dye leakage response was detected for 30-40 min, with the maximum response occurring between 5 an...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489209137438

    authors: Asakura K,Shirasaki H,Narita S,Kojima T,Kataura A

    更新日期:1992-01-01 00:00:00

  • Evaluation of functional rhinoplasty using the Modified Cottle test in Asian patients.

    abstract:CONCLUSION:MCT is a useful tool to pre-operatively determine whether internal nasal valve (INV) narrowing affects a nasal obstruction. Functional rhinoplasty seemed to produce better results than septoplasty in Asian patients with a nasal obstruction, due to INV narrowing. OBJECTIVE:This study compared pre-operative m...

    journal_title:Acta oto-laryngologica

    pub_type: 评论,杂志文章

    doi:10.3109/00016489.2015.1108523

    authors: Kwun C,Yang CW,Kim SW,Lee KH

    更新日期:2016-01-01 00:00:00

  • The role of cholinergic transmission in outer hair cell functioning evaluated by distortion product otoacoustic emissions in myasthenic patients.

    abstract::Outer hair cells (OHCs) are the source of otoacoustic emissions, following a tropomyosin-miosin-dependent contraction, which are regulated by the olivocochlear bundle via the release of acetylcholine (ACh). ACh acts on ACh receptors (AChR) located on the OHC post-synaptic membrane. In myasthenia gravis (M.G.) neuromus...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/000164801300043127

    authors: Paludetti G,Di Nardo W,D'Ecclesia A,Evoli A,Scarano E,Di Girolamo S

    更新日期:2001-01-01 00:00:00

  • Bacteriological characterization of the effusion material in an animal model for serous and purulent otitis media.

    abstract::By means of cleaving the soft palate and blocking the Eustachian tube, two otomicroscopically well defined types of otitis media, serous and purulent, were created in an animal model (rat). The microbiological pattern of these conditions were characterized at 1, 2, 3, 4 and 6 weeks after the onset. Samples were collec...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489009122521

    authors: Johansson U,Hellström S

    更新日期:1990-07-01 00:00:00

  • Noise exposure alters cyclooxygenase 1 (COX-1) and 5-lipoxygenase (5-LO) expression in the guinea pig cochlea.

    abstract:CONCLUSION:Changes in the metabolism of arachidonic acid (AA) might be part of a noise-induced compensatory mechanism with regional specificity. OBJECTIVES:The released imbalance of prostaglandins and leukotrienes, both AA metabolites, might result in altered blood flow regulation in the inner ear and probably contrib...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480903168066

    authors: Heinrich UR,Selivanova O,Schmidtmann I,Feltens R,Brieger J,Mann WJ

    更新日期:2010-03-01 00:00:00

  • Gravity load related asymmetries in the sagittal vestibulo-collic reflex.

    abstract::EMG recordings of the neck muscles (biventer cervicis, complexus, splenius, longus capitis) of decerebrate cats were obtained during pitch and roll stimulations (sinusoidal stimulation: 30 degrees p-p amplitude, 0.2 Hz frequency). Most of the EMG responses to pitch showed activation peaks leading the position stimuli ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489309135800

    authors: Pettorossi VE,Santarelli R,Draicchio F,Errico P,Ferraresi A

    更新日期:1993-05-01 00:00:00

  • Comparing nasal secretion eosinophil count with skin sensitivity test in allergic rhinitis in Ibadan, Nigeria.

    abstract:OBJECTIVES:The aim of this prospective study was to assess the usefulness of nasal smear eosinophilia compared with a skin sensitivity test for the diagnosis of allergic rhinitis and to determine the degree of correlation between the tests. MATERIAL AND METHODS:Fifty patients with a clinical history suggestive of nasa...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480310002159

    authors: Takwoingi Y,Akang E,Nwaorgu G,Nwawolo C

    更新日期:2003-12-01 00:00:00

  • Diazepam reduces excitability of amygdala and further influences auditory cortex following sodium salicylate treatment in rats.

    abstract:CONCLUSION:Diazepam can reduce the excitability of lateral amygdala and eventually suppress the excitability of the auditory cortex in rats following salicylate treatment, indicating the regulating effect of lateral amygdala to the auditory cortex in the tinnitus procedure. OBJECTIVE:To study the spontaneous firing ra...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2016.1204664

    authors: Song Y,Liu J,Ma F,Mao L

    更新日期:2016-12-01 00:00:00

  • Laryngeal manifestations of gastroesophageal reflux disease in children.

    abstract::Although the association between gastroesophageal reflux disease (GERD) and laryngeal disorders in adults is well established there is still a lack of information concerning the true extent of the laryngeal complications of GERD in children. The aim of this study was to determine the laryngeal status of children with ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/000164802753648213

    authors: Zalesska-Krecicka M,Krecicki T,Iwanczak B,Blitek A,Horobiowska M

    更新日期:2002-04-01 00:00:00

  • The inner laryngeal lymphatics. A lymphangioscopical and electron microscopical study.

    abstract::Lymphangioscopical and ultrastructural studies of the larynx reveal a lymphatic capillary and a collecting vessel system. Collecting vessels show luminal valves and elastic structural components within the wall. Lymphangioscopy reveals that a strict compartmentation of different laryngeal areas is unjustifiable with t...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016488009127137

    authors: Beck C,Mann W

    更新日期:1980-03-01 00:00:00

  • Clinical features of head and neck cancer patients with methicillin-resistant Staphylococcus aureus.

    abstract:CONCLUSIONS:The risk factors for methicillin-resistant Staphylococcus aureus (MRSA) detection in head and neck cancer patients are the duration of hospitalization, intravenous hyperalimentation, prior antibiotic use, and the coexistence of other pathogens. OBJECTIVES:To shed light on the clinical characteristics of MR...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480600750018

    authors: Shiomori T,Miyamoto H,Udaka T,Okochi J,Hiraki N,Hohchi N,Hashida K,Fujimura T,Kitamura T,Nagatani G,Ohbuchi T,Suzuki H

    更新日期:2007-02-01 00:00:00

  • Characterization of AMC-HN-9, a cell line established from an undifferentiated carcinoma of the parotid gland: expression of alpha6beta4 with the absence of BP180 and 230.

    abstract::We recently reported the development of a cell line, AMC-HN-9, established from an undifferentiated carcinoma (UDC) of the parotid gland. AMC-HN-9 consists mostly of spindle-shaped cells, has poor in vitro adhesiveness and an in vitro appearance that is different from that of other epithelial cell lines. To test the h...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/000164800750000513

    authors: Kim SH,Carey TE,Liebert M,Yoo SJ,Kwon HJ,Kim SY

    更新日期:2000-08-01 00:00:00

  • Assessment of diagnostic approaches to idiopathic sudden sensorineural hearing loss and their influence on treatment and outcome.

    abstract:CONCLUSION:Results from a database for sudden sensorineural hearing loss (SSNHL) demonstrate no correlation between laboratory findings, treatment, and outcome in 400 patients. The patients with pathological test results were not treated differently from those with normal test results. The value of laboratory findings ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480903161541

    authors: Nosrati-Zarenoe R,Hansson M,Hultcrantz E

    更新日期:2010-03-01 00:00:00

  • Middle ear pressure equilibration ability and spontaneous pressure changes in healthy ears with ventilation tubes.

    abstract:CONCLUSION:The results of this study give support to the theory that opening the middle ear (ME) to the atmosphere leads to a deterioration in its pressure regulation capacity. However, this is probably not the reason why a perforation of the tympanic membrane becomes chronic. OBJECTIVE:Direct, continuous measurement ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016480510029374

    authors: Brattmo M,Tideholm B,Carlborg B

    更新日期:2005-07-01 00:00:00

  • Staphylococcus aureus in chronic rhinosinusitis: the effect on the epithelial chloride channel (cystic fibrosis transmembrane conductance regulator, CFTR) and the epithelial sodium channel (ENaC) physiology.

    abstract::Background: Chronic rhinosinusitis (CRS) is an inflammatory disease of the nose and the paranasal sinuses, often associated with an infection by Staphylococcus aureus (S. aureus). Disturbance in the function of ion channels is regarded as an etiological factor for pathogenesis of CRS. Aims: The study aims to measure t...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.1080/00016489.2019.1603513

    authors: Saber A,Nakka SS,Hussain R,Hugosson S

    更新日期:2019-07-01 00:00:00

  • Ultrastructure of the lamina propria of the human vocal fold.

    abstract::We studied three-dimensional arrangement of collagen fibers and elastic fibers in the human vocal fold by scanning electron microscopy after digesting cellular elements and collagen fibers with formic acid treatment and cellular elements and elastic fibers with 10% sodium hydroxide. The superficial layer consisted of ...

    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章

    doi:10.3109/00016489609137924

    authors: Ishii K,Zhai WG,Akita M,Hirose H

    更新日期:1996-09-01 00:00:00