Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Graham, M. D. Treatment Options for Ménière's Disease: Endolymphatic Sac Surgery: Do It or Don't Do It and Why? San Diego: Singular Publishing, 1998.
Haybach, P. J., and J. Underwood....
Ménière's Disease: WhatYou Need to Know. Portland, OR: Vestibular Disorders Association, 1998.
"Ménière's Disease." In The Merck Manual of Diagnosis andTherapy, edited by Mark H. Beers, MD, and Robert Berkow, MD. Whitehouse Station, NJ: Merck Research Laboratories, 1999.
PERIODICALS
Brookler, K. H. "A Patient with Endolymphatic Hydrops Refractory to Shunt Surgery."Ear Nose Throat Journal 79 (July 2000): 493.
Goksu, N., Y. A. Bayazit, A. Abdulhalik, and Y. K. Kemaloglu."Vestibular Neurectomy with Simultaneous Endolymphatic Subarachnoid Shunt."European Archives of Otorhinolaryngology 259 (May 2002): 243-246.
Mason, T. P. "What is Ménière's Disease, and How is it Treated?"Health News 9 (April 2003): 12.
Ostrowski, V. B., and J. M. Kartush. " Endolymphatic Sac-VeinDecompression for Intractable Ménière's Disease: Long Term Treatment Results."Otolaryngology Head and Neck Surgery 128 (April 2003): 550-559.
Welling, D. B., and H. N. Nagaraja. "Endolymphatic MastoidShunt: a Reevaluation of Efficacy."Otolaryngology Head and Neck Surgery 122 (March 2000): 340-345.
ORGANIZATIONS
American Academy of Otolaryngology—Head and NeckSurgery. One Prince Street, Alexandria, VA 22314. (703) 806-4444.
National Institute on Deafness and Other Communication Disorders (NIDCD). 31 Center Drive, MSC 2320, Bethesda, MD 20892-2320. (800) 241-1044.
Vestibular Disorders Association (VEDA). PO Box 4467, Portland, OR 97208-4467. (800) 837-8428.
OTHER
"Ménière's Disease–Surgical Therapy."UPennHealth.
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Other Information
Definition
An endolymphatic shunt is a surgical procedure in which a very small silicone tube is placed in the membranous labyrinth of the inner ear to drain excess fluid.
Purpose
An endolymphatic shunt is placed as part of the treatment of Ménière's disease, a disorder of the inner ear whose causes are still unknown. Ménière's disease is characterized by the following symptoms:
a rise in the level of endolymphatic fluid in the labyrinth of the inner ear
hearing loss that comes and goes
a sensation that the environment or oneself is revolving or spinning (vertigo)
ringing, buzzing, or hissing noises in the ears (tinnitus)
a feeling that the ears are blocked or plugged
Endolymphatic shunt surgery is one of the surgical procedures available to treat Ménière's disease, which is also known as endolymphatic hydrops. The surgery is based on the theory that the disorder causes the inner ear to become overloaded with fluid and that draining this fluid will relieve the symptoms. The fluid is drained by opening the endolymphatic sac, a pouch located next to the mastoid bone at the end of the endolymphatic duct. The endolymphatic duct is a canal that leads to the inner ear.
From http://www.healthline.com/galecontent/endolymphatic-shunt
Other Information
In 2006, estimates of the direct medical costs of allergic rhinitis in the US ranged from $1.16 billion to $4.5 billion, rising to $7.7 billion when indirect costs were included.
From: AHRQ
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