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Endolymphatic Ethiodized Oil Intranodal Lymphangiography and Cyanoacrylate Glue Embolization for the Treatment of Postoperative Lymphatic Leak After Robot-Assisted Laparoscopic Pelvic Resection.
J Endourol Case Rep
May 2018
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan.
To report the approach, technical success, clinical outcomes, complications, and follow-up of ethiodized oil intranodal lymphangiography with cyanoacrylate glue embolization for the treatment of lymphatic leak after robot-assisted laparoscopic pelvic resection. Four men with mean age 68.7 ± 14.
View Article and Find Full Text PDFLong-term outcomes of endolymphatic sac shunting with local steroids for Meniere's disease.
Am J Otolaryngol
April 2018
Ear, Nose, and Throat Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Objectives: To evaluate the long-term efficacy of endolymphatic sac shunt techniques with and without local steroid administration.
Study Design: Retrospective case series and patient survey.
Setting: Tertiary university hospital.
Effects of posterior tympanotomy with steroids at round window on hearing recovery after revision surgery for intractable Meniere's disease.
Acta Otolaryngol
July 2015
Department of Otolaryngology - Head and Neck Surgery, Nara Medical University, Nara , Japan.
Conclusions: At the second postoperative year, there were no significant differences between results for vertigo and hearing after endolymphatic sac drainage with steroid instillation surgery (EDSS) and EDSS with posterior tympanotomy with steroids at the round window (EDRW). In particular, as regards hearing recovery to the preoperative level, the periods after EDRW were shorter than those after the second EDSS.
Objectives: Patients sometimes faces recurrent problems years after EDSS due to endolymphatic sac closure and/or disease progression.
Novel techniques for the diagnosis of Ménière's disease.
Curr Opin Otolaryngol Head Neck Surg
October 2013
Department of Otolaryngology - Head and Neck Surgery, University of California Davis Medical Center, Sacramento, California 95817, USA.
Purpose Of Review: This review will consider the newly developed and emerging diagnostic techniques with real or potential clinical application to the diagnosis of Ménière's disease.
Recent Findings: Several new diagnostic modalities have been introduced, which have the potential to help diagnose endolymphatic hydrops. These include cervical and ocular vestibular evoked myogenic potentials, cochlear hydrops analysis masking procedures, and three-dimensional fluid-attenuated inversion recovery MRI following intratympanic instillation of gadolinium.
Long-term results of endolymphatic sac drainage with local steroids for intractable Meniere's disease.
Auris Nasus Larynx
October 2013
Department of Otolaryngology-Head and Neck Surgery, Osaka University, Graduate School of Medicine, Osaka, Japan.
Objectives: Meniere's disease is a common inner ear disease characterized by vertigo, hearing loss and tinnitus. Since Meniere's disease is thought to be triggered by an immune insult to inner ear hydrops, we examined endolymphatic sac drainage with intra-endolymphatic sac application of large doses of steroids for intractable Meniere's patients and observed long-term results from 2 years to over a decade until 13 years.
Methods: Between 1998 and 2009, we enrolled and assigned 286 intractable Meniere's patients to two groups: group-I (G-I) included patients who underwent endolymphatic sac drainage with steroid instillation and group-II (G-II) included those who declined endolymphatic sac drainage.
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