Endolymphatic Sac Surgery for Ménière’s Disease: A Systematic Review and Meta-analysis

@article{Sood2014EndolymphaticSS,
  title={Endolymphatic Sac Surgery for M{\'e}ni{\`e}re’s Disease: A Systematic Review and Meta-analysis},
  author={Amit Sood and Paul R. Lambert and Shaun A. Nguyen and Ted Albert Meyer},
  journal={Otology \& Neurotology},
  year={2014},
  volume={35},
  pages={1033–1045}
}
Objective To analyze current endolymphatic surgery techniques and quantify their efficacy in controlling vertigo and maintaining hearing in the short and long term. Data Sources A comprehensive literature search using the PubMed-NCBI database from 1970 to 2013. Study Selection Articles on sac decompression and mastoid shunt (with and without silastic) were included. Included studies had to report data using the 1985 or 1995 American Academy of Otolaryngology–Head and Neck Foundation (AAO-HNS… 
Endolymphatic Sac Surgery for Ménière's Disease – Current Opinion and Literature Review
TLDR
The endolymphatic sac surgery, with all its variants, is a good option for patients with incapacitating endolyphatic hydrops, providing a high percentage of vertigo control and hearing preservation.
Endolymphatic Sac Surgery for Ménière's Disease - Current Opinion and Literature Review.
TLDR
The endolymphatic sac surgery, with all its variants, is a good option for patients with incapacitating endolyphatic hydrops, providing a high percentage of vertigo control and hearing preservation.
Endolymphatic sac surgery versus tenotomy of the stapedius and tensor tympani muscles in the management of patients with unilateral definite Meniere’s disease
TLDR
TSTM is a safe surgical procedure, with significant vertigo control rates, and important hearing preservation rates, according to the American Academy of Otolaryngology-Head and Neck Surgery criteria.
Endolymphatic Duct Blockage for Refractory Ménière's Disease: Assessment of Endolymphatic Sac Biopsy on Short-Term Surgical Outcomes.
TLDR
The results suggest that aggressive decompression of the ELS by sectioning the sac does not benefit patients in the early postoperative period, and the short-term success of EDB surgery is attributable to the effective obstruction of the endolymphatic duct regardless of pressure in the E LS.
University of Southern Denmark Current state of evidence for endolymphatic sac surgery in Menière’s disease
TLDR
There is still a lack of high quality research suggesting that endolymphatic sac surgery provides a significant amount of symptomatic relief for Menière’s patients, and high-quality evidence is essential to evaluate its potential positive effects and associated risks.
Endolymphatic duct blockage for refractory Ménière’s disease: assessment of intraoperative CSF leak on short-term surgical outcomes
TLDR
Intraoperative CSF Leak may cause a temporary non-significant worsening of hearing in the first-month postoperatively without any difference at 6 months.
Current state of evidence for endolymphatic sac surgery in Menière’s disease: a systematic review
TLDR
There is still a lack of high-quality research suggesting that endolymphatic sac surgery provides a significant amount of symptomatic relief for Menière’s patients.
Endolymphatic sac drainage for the treatment of Ménière's disease
TLDR
Endolymphatic sac drainage is a good surgical option for patients with incapacitating endolymphic hydrops, providing a high percentage of vertigo control and hearing preservation, according to the main outcome measures.
Is Endolymphatic Sac Surgery Beneficial For Meniere's Disease?
TLDR
The purpose of this study is to explore if ESS is effective in the management of medically refractory Meniere’s disease.
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References

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Long-Term Efficacy of Endolymphatic Sac Surgery for Vertigo in Meniere's Disease
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TLDR
It is concluded that endolymphatic sac shunt operations are effective as Initial surgical procedures for long-term control of disabling vertigo of Meniere's disease.
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TLDR
ESS is a surgical option for MD that offers relief from vertigo in selected patients, but patients need to be cautioned about the risk of hearing loss and the requirement for subsequent destructive treatment in a significant proportion of cases.
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TLDR
A profile of a classic Meniere's disease patient who has failed to improve with medical, allergic, dietary, exercise, or other conservative treatment and would be likely to benefit from endolymphatic sac to mastoid shunt surgery is established.
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TLDR
Even though the mechanism of the beneficial effect of sac surgery is unknown, it has found it useful in the control of disabling vertigo.
Endolymphatic sac surgery: methods of study and results.
TLDR
Even though the mechanism of the beneficial effect of sac surgery is unknown, it has found it useful in the control of disabling vertigo.
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TLDR
From 1968 to 1983, 162 cases of Meniere's disease were treated surgically with the intramastoid drainage technique, and definitive vertigo spells could be controlled completely in 78% of cases and substantially controlled in 94%.
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TLDR
The patients were carefully pre-selected by a comprehensive protocol of audiovestibular and metabolic investigations and all patients had definite electrophysiological evidence of endolymphatic hydrops with an enhanced negative summating potential on transtympanic electrocochleography.
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TLDR
There remains a definite role for endolymphatic shunt surgery in the contemporary approach to patients with Meniere's disease, and an assessment of outcome variables concludes that there remains a specific role for this procedure in the managed care environment.
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