[3] Since then, however, Hicks and Wright reported that endolymphatic sac (ELS) surgery in patients with contralateral hydrops is relatively safe, provides an excellent chance of eliminating or controlling vertigo and maintaining or improving hearing, and carries a low risk of surgical anacusis. [5] They consider ELS surgery to be the only option when symptoms of contralateral DEH are debilitating and refractory to medical treatment.
[3] In 1983, Morrison reported on ELS surgery on the only-hearing or better-hearing ear in patients with contralateral DEH and concluded that because the risk of surgical anacusis was only 1% with ELS surgery, it should be the only option for these patients.
[12-25,21,29] Meanwhile, the incidence of surgical anacusis is less than 2%.