メニエール病に対する内リンパ囊開放術

抄録

I reviewed the history of endolymphatic sac surgery, the most commonly performed surgical procedure for Meniere’s disease around the world. I also reviewed the current status of this procedure in Japan and its outcomes, as well as the outcomes at our institution, based on a systematic review.

Although there is a lack of high-quality studies on endolymphatic sac surgery at this time, many reports indicate that it is useful for controlling vertigo, at least in the short term.

With the advent of new imaging studies on endolymphatic hydrops called HYDROPS (hybrid of reversed image of positive endolymph signal and negative image of perilymph signal), I believe that Meniere’s disease will be more accurately diagnosed and properly treated by surgery in the future. In addition, I have also introduced new treatments and new surgical techniques. I am hopeful that in the future, endolymphatic sac surgery will progress to preventive surgery aimed at hearing preservation.