Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Treatment of Vertigo in Meniere’s Disease by Horizontal Semicircular Canal Obstruction via Ear Canal Approach under Otoendoscopy:a Single-Arm Trial

Version 1 : Received: 23 August 2024 / Approved: 23 August 2024 / Online: 24 August 2024 (00:33:26 CEST)

How to cite: Sun, Y.; Leng, Y.; Shi, M.; Zhou, R.; Wang, E.; Li, Y.; Yu, J.; Xie, L.; Cai, Q. Treatment of Vertigo in Meniere’s Disease by Horizontal Semicircular Canal Obstruction via Ear Canal Approach under Otoendoscopy:a Single-Arm Trial. Preprints 2024, 2024081753. https://doi.org/10.20944/preprints202408.1753.v1 Sun, Y.; Leng, Y.; Shi, M.; Zhou, R.; Wang, E.; Li, Y.; Yu, J.; Xie, L.; Cai, Q. Treatment of Vertigo in Meniere’s Disease by Horizontal Semicircular Canal Obstruction via Ear Canal Approach under Otoendoscopy:a Single-Arm Trial. Preprints 2024, 2024081753. https://doi.org/10.20944/preprints202408.1753.v1

Abstract

Objectives: In recent years, ear endoscopy has gradually become an important tool in ear surgery. This study further explored its application in ear surgery, to establish a surgical approach for semicircular canal obstruction (SOC) via the ear canal to control vertigo in Meniere's disease. Methods: With the approval of the ethics committee, recruitment started in June 2019. ​Four patients with Meniere's disease who had been treated conservatively for more than six months received SCO via an external ear canal approach under otoendoscopy and were followed for two years after surgery to assess the safety and efficacy of the procedure. Results The control of vertigo after the operation was satisfactory (100%), and the frequency and degree of vertigo were significantly improved. Tinnitus improved in 1 case (25%) and did not progress in the other 3 cases. Hearing loss did not progress in all patients. Postoperative walking instability occurred in 1 patient (25%), and there were no obvious complications. All patients reported significant improvements in their quality of life. Conclusions: SCO via the external auditory canal approach is safe, effective, easy to accept, and an alternative to conservative treatment of Meniere's disease with no actual hearing for more than 6 months.

Keywords

Endoscopic ear surgery; Refractory Meniere disease; Semicircular canal occlusion; Vertigo

Subject

Medicine and Pharmacology, Otolaryngology

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