To summarize, they are the use of the operating microscope, tympanoplasty and mastoidectomy techniques, stapes surgery, endolymphatic sac surgery
for intractable Meniere's disease, skull base surgery (for example, removal of vestibular schwannomas, vestibular nerve sections), use of intratympanic gentamycin, and cochlear implantation, not to mention the discovery of new diseases.
In 2002, Huang reported the outcomes of 103 patients with Meniere's disease who had been treated with endolymphatic sac surgery and topical mitomycin C.
22) During endolymphatic sac surgery, Huang used 1 mg/ml for 5 minutes.
In 1999, Yazawa et al published their experience with mitomycin C during endolymphatic sac surgery, and they reported no heating impairment or dizziness among 14 patients who had been followed for more than 6 months.
Recent surveys have indicated that the most common surgical procedure for intractable or progressive Meniere's disease is endolymphatic sac surgery
4% had performed endolymphatic sac surgery, and 72.
We did determine that endolymphatic sac surgery resulted in a lower incidence of postoperative hearing loss than did either vestibular neurectomy or intratympanic gentamicin (figure 3).
But for patients who still maintain functional hearing, vestibular nerve section, endolymphatic sac surgery, and intratympanic aminoglycoside therapy should be considered.
Endolymphatic sac surgery for Meniere's disease: Eighteen years' experience with the Kitahara sac operation.
Revision endolymphatic sac surgery for recurrent Meniere's disease.
Preservation procedures include endolymphatic sac surgery
16] According to another study, a deposition of immunoglobulin G was observed in 40% of endolymphatic sac specimens obtained during endolymphatic sac surgery
from patients with Meniere's disease.