内窥镜下腱鞘切开术治疗梅尼埃病是否有效？

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-15 DOI:10.1017/S0022215125102697

Noha Ahmed El-Kholy, Mohammed Abdelbadie Salem, Mohamed Rashad Ghonim, Javier Gavilán

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引用次数: 0

摘要

目的：本研究旨在报告内窥镜下肌腱切开术治疗mims病的经验，因为其在文献报道中的作用仍然存在争议。方法：回顾性分析在我院三级保健中心诊断为单侧明确msamimni病并行内窥镜中耳肌腱切断术的患者。比较两组患者术前、术后的纯音平均值、眩晕发作频率、功能水平、耳鸣评分和眩晕障碍量表。结果：共纳入28例，平均年龄50.78±12.16岁。2年随访期间，眩晕完全控制16例（57.14%），眩晕基本控制5例（17.85%），眩晕有限控制3例（10.71%）。术后眩晕障碍量表及功能水平均有显著改善。结论：内窥镜下肌腱切开术治疗m尼康病简便易行，无严重并发症，但绝对眩晕控制率较低，限制了其作为确定治疗方法的考虑。

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Endoscopic tenotomy in Ménière's disease: is it effective?

Objectives: This study aims to report our experience with endoscopic tenotomy in treatment of Ménière's disease as its reported role in literature is still controversial.

Methods: Patients diagnosed with unilateral definite Ménière's disease and underwent endoscopic tenotomy of middle-ear muscles in our tertiary care centre were retrospectively evaluated. Pure tone average, frequency of vertiginous attacks, functional level, tinnitus scale and Dizziness Handicap Inventory were compared pre-operatively and post-operatively.

Results: Twenty-eight cases were included in the study with an average age of 50.78 ± 12.16 years. At the 2-year follow-up period, 16 cases (57.14 per cent) achieved complete control of vertigo, 5 cases (17.85 per cent) had substantial vertigo control, and 3 cases (10.71 per cent) had limited control. Significant improvement in Dizziness Handicap Inventory and functional level also was found post-operatively.

Conclusion: Endoscopic tenotomy for Ménière's disease is easy and simple with no serious complications, but its relatively low results of absolute vertigo control limit its consideration as a definitive treatment.

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.