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Treatment With Surgery ... From the Meniett website here: "Although the actual mechanisms are still not fully understood, one theory is that the action of the pressure pulses on the fluid system, combined with other physiologic reactions in the ear, forces the excess endolymphatic fluid back into the endolymphatic sac."
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www.menieresinfo.com/treatment.html
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These options include endolymphatic sac surgery (ELS), vestibular neurectomy (VN), and either transtympanic or systemic (in the case of bilateral Ménière's - about 10% of patients) aminoglycoside treatment.
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www.michiganear.com/library/V/vertigo_options.html
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Purpose of endolymphatic sac surgery: Once the ear causing the Meniere’s syndrome type vertigo is identified, operating on the bag on the back side of the inner ear appears to reduce the probability that the inner ear will continue to rupture in a manner that causes vertigo.
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tampabayhearing.com/PDFForms/Endolymphatic_Sac_Surgery....
tampabayhearing.com/PDFForms/Endolymphatic_Sac_Surgery.pdf
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26 Endolymphatic Sac Surgery. Holger Sudhoff, Henning Hildmann. The aim of endolymphatic sac surgery is to expose and drain the endolym- ...
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www.springerlink.com/index/k7925x7wp7889jp5.pdf
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Intraoperative Mitomycin C in Endolymphatic Sac Surgery for Ménière's Disease: A Pilot Study; Yoshiro Yazawa, Mikio Suzuki, Hiroya Kitano, Kazutomo Kitajima; Department of Otolaryngology, Shiga University of Medical Science, Otsu, Japan;
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content.karger.com/ProdukteDB/produkte.asp?Doi=27669
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To determine the effect of endolymphatic sac ballooning surgery (ESBS) ...
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linkinghub.elsevier.com/retrieve/pii/S0030666502000270
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Although there is currently no cure, more than 85% of patients with Meniere's disease are helped by either changes in lifestyle and medical treatment, or minimally invasive surgical procedures such as intratympanic steroid therapy, intratympanic gentamicin therapy, and endolymphatic sac surgery.
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www.lifestages.com/health/menieres.html
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• Thirty-five patients with Meniere disease underwent endolymphatic sac decompression and drainage with a Silastic sac-mastoid shunt. ... Unidirectional Inner Ear Valve Implant for Endolymphatic Sac Surgery in Meniere's Disease; Arenberg et al. Arch Otolaryngol Head Neck Surg 1978;104:694-704. ABSTRACT...
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archotol.ama-assn.org/cgi/content/abstract/103/5/268
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• In five patients with long-standing Meniere's disease, a unidirectional inner ear valve was implanted into the endolymphatic sac (ELS) to facilitate removal of excess endolymph in the hydropic state. These patients were all candidates for ablative surgery.
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archotol.ama-assn.org/cgi/content/abstract/104/12/694
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