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Front Neurol
October 2024
Department of Otorhinolaryngology, Haga Hospital, The Hague, Netherlands.
Introduction: Knowledge of the natural and temporal course of a disease is important when deciding if an intervention is appropriate. In the case of Ménière's disease (MD), there is some evidence that attacks diminish over time, but the topic remains controversial. A conservative approach to surgery is usually followed in northern Europe, and leads to strict patient selection before considering surgery.
View Article and Find Full Text PDFCureus
October 2024
Department of Otolaryngology, St. Marianna University School of Medicine, Kawasaki, JPN.
Large vestibular aqueduct syndrome (LVAS) is a congenital malformation characterized by an abnormally large vestibular aqueduct, diagnosed primarily via CT scans. Patients with LVAS often experience progressive hearing loss and recurrent vertigo, with treatment strategies mirroring those for Meniere's disease. Traditional surgical interventions such as endolymphatic sac decompression (ESD) are common; however, the efficacy of endolymphatic duct blockage (EDB) as an alternative still remains under investigation.
View Article and Find Full Text PDFWorld Neurosurg
November 2024
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Fengtai District, Beijing, China. Electronic address:
Objective: To evaluate the clinical features, surgical outcomes, and predictors of progression-free survival (PFS) in patients with endolymphatic sac tumors (ELSTs).
Methods: This retrospective study analyzed 15 cases from Beijing Tiantan Hospital and 237 from the literature (1988-2023), focusing on patients with pathologically confirmed intracranial or skull ELSTs who had comprehensive treatment and follow-up records. Univariate and multivariate Cox regression analyses were used to identify factors influencing PFS.
Laryngoscope Investig Otolaryngol
October 2024
Department of Otorhinolaryngology Nagoya University Graduate School of Medicine Nagoya Japan.
Objective: In this study, we aimed to summarize magnetic resonance imaging (MRI) findings of perilymphatic enhancement (PE) and endolymphatic hydrops (EH) of the inner ear, which are associated with vestibular and cochlear symptoms.
Methods: We analyzed data on ears with definite Meniere's disease (MD), sensorineural hearing loss (SNHL), vertigo, and listening difficulties (LiD) from 508 ears of 254 patients who underwent contrast-enhanced 3-Tesla MRI between April 2021 and March 2023. We evaluated the degree of endolymphatic hydrops (EH), signal intensity ratios (SIRs) between the basal turns of the cochlea and cerebellum, and hearing levels for all ears.
Laryngoscope
January 2025
Department of Otology and Skull Base Surgery, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China.
Objective: To analyze the clinical features and surgical outcomes of patients with endolymphatic sac tumors (ELSTs).
Study Design: Single institution retrospective cohort study.
Methods: The clinical data of 29 patients with 30 ELSTs who underwent surgery were retrospectively reviewed.
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