{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:33:32Z","timestamp":1792020812051,"version":"4.4.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007210","name":"RWTH Aachen University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007210","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The purpose of this work is to assess the treatment efficiency of endolymphatic sac surgery in patients with Meni\u00e8re's disease.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This study provides a systematic literature review and meta-analysis based on the guidelines of the Cochrane Collaboration and the Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol. The main inclusion criteria of the literature review were the classification categories according to the American Academy of Otolaryngology-Head and Neck Surgery guidelines of 1985 and 1995.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>An effect of 9.25\u00a0dB postoperative weighted average hearing loss in surgically treated individuals is classified as \"clinically not significant\" according to American Academy of Otolaryngology-Head and Neck Surgery 85\/95. In contrast, the deterioration by 26.23% in speech comprehension is considered as \"clinically significant.\" An improvement of functional level scale assessment by two categories and vertigo control by assessment in category B can be observed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The findings of this meta-analysis indicate that endolymphatic sac surgery may be beneficial as a treatment for Meni\u00e8re's disease in terms of a positive impact on functional level scale and vertigo control while yielding a negative impact on pure tone average hearing loss and on speech comprehension.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-022-07580-8","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T14:03:29Z","timestamp":1665237809000},"page":"1119-1128","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Is endolymphatic sac surgery an efficient treatment of Meni\u00e8re's disease patients? A systematic literature search and meta-analysis"],"prefix":"10.1007","volume":"280","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8855-6681","authenticated-orcid":false,"given":"Franziska A.","family":"Szott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Westhofen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hackenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,8]]},"reference":[{"key":"7580_CR1","unstructured":"M\u00e9ni\u00e8re, P. (1996): M\u00e9moire sur des l\u00e9sions de l'oreille interne donnant lieu a des sympt\u00f4mes de congestion c\u00e9r\u00e9brale apoplectiforme: Lu \u00e0 l'acad\u00e9mie imp\u00e9riale de M\u00e9decine dans la s\u00e9ance du 8 janvier 1861. Paris: Ed. Louis Pariente."},{"issue":"5","key":"7580_CR2","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1007\/s00106-009-1915-2","volume":"57","author":"M Westhofen","year":"2009","unstructured":"Westhofen M (2009) Meni\u00e8re: evidenzen und kontroversen. HNO 57(5):446\u2013454. https:\/\/doi.org\/10.1007\/s00106-009-1915-2","journal-title":"HNO"},{"key":"7580_CR3","doi-asserted-by":"publisher","DOI":"10.3205\/cto000140","author":"S Volkenstein","year":"2017","unstructured":"Volkenstein S, Dazert S (2017) Recent surgical options for vestibular vertigo. GMS Curr Top Otorhinolaryngol Head Neck Surg. https:\/\/doi.org\/10.3205\/cto000140","journal-title":"GMS Curr Top Otorhinolaryngol Head Neck Surg"},{"issue":"6","key":"7580_CR4","first-page":"558","volume":"5","author":"P Bretlau","year":"1984","unstructured":"Bretlau P, Thomsen J, Tos M, Johnsen NJ (1984) Placebo effect in surgery for Meniere\u2019s disease: a three-year follow-up study of patients in a double blind placebo controlled study on endolymphatic sac shunt surgery. Am J Otol 5(6):558\u2013561","journal-title":"Am J Otol"},{"issue":"2","key":"7580_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/0194599820909438","volume":"162","author":"GJ Basura","year":"2020","unstructured":"Basura GJ, Adams ME, Monfared A, Schwartz SR, Antonelli PJ, Burkard R, Bush ML et al (2020) Clinical Practice Guideline: M\u00e9ni\u00e8re\u2019s Disease. Otolaryngol Head Neck Surg 162(2):1\u201355. https:\/\/doi.org\/10.1177\/0194599820909438","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"12","key":"7580_CR6","first-page":"1862","volume":"20","author":"G Portmann","year":"1927","unstructured":"Portmann G (1927) The saccus endolymphaticus and an operation for draining for the relief of vertigo. Proc R Soc Med 20(12):1862\u20131867","journal-title":"Proc R Soc Med"},{"issue":"5","key":"7580_CR7","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1001\/archotol.1981.00790410009002","volume":"107","author":"J Thomsen","year":"1981","unstructured":"Thomsen J, Bretlau P, Tos M, Johnsen NJ (1981) Placebo effect in surgery for M\u00e9ni\u00e8re\u2019s disease. A double-blind, placebo-controlled study on endolymphatic sac shunt surgery. Arch Otolaryngol 107(5):271\u2013277","journal-title":"Arch Otolaryngol"},{"key":"7580_CR8","unstructured":"Higgins JPT, Green S (2011) Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. Hg. v. The Cochrane Collaboration, 2011. http:\/\/handbook-5-1.cochrane.org\/. Accessed 11 Jan 2019"},{"issue":"7","key":"7580_CR9","doi-asserted-by":"publisher","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","volume":"6","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 6(7):e1000097. https:\/\/doi.org\/10.1371\/journal.pmed.1000097","journal-title":"PLoS Med"},{"key":"7580_CR10","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-017-0644-y","author":"WM Bramer","year":"2017","unstructured":"Bramer WM, Rethlefsen ML, Kleijnen J, Franco OH (2017) Optimal database combinations for literature searches in systematic reviews: a prospective exploratory study. Syst Rev. https:\/\/doi.org\/10.1186\/s13643-017-0644-y","journal-title":"Syst Rev"},{"key":"7580_CR11","unstructured":"Cochrane (Hg.) (2017) Cochrane Effective Practice and Organisation of Care (EPOC). Database Syntax Guide. EPOC Resources for review authors. http:\/\/epoc.cochrane.org\/epoc-specific-resources-review-authors. Accessed 11 Jan 2019"},{"issue":"4","key":"7580_CR12","first-page":"275","volume":"8","author":"DE Brackmann","year":"1987","unstructured":"Brackmann DE, Nissen RL (1987) Meni\u00e8re\u2019s disease: results of treatment with the endolymphatic subarachnoid shunt compared with the endolymphatic mastoid shunt. Am J Otol 8(4):275\u2013282","journal-title":"Am J Otol"},{"issue":"3","key":"7580_CR13","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/S0194-5998(95)70102-8","volume":"113","author":"Committee on Hearing and Equilibrium","year":"1995","unstructured":"Committee on Hearing and Equilibrium (1995) Committee on hearing and equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere\u2019s disease. Otolaryngol Head Neck Surg 113(3):181\u2013185. https:\/\/doi.org\/10.1016\/S0194-5998(95)70102-8","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"9","key":"7580_CR14","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1046\/j.1445-2197.2003.02748.x","volume":"73","author":"K Slim","year":"2003","unstructured":"Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 73(9):712\u2013716","journal-title":"ANZ J Surg"},{"issue":"12","key":"7580_CR15","doi-asserted-by":"publisher","first-page":"3645","DOI":"10.1007\/s00405-014-3428-1","volume":"272","author":"S Albu","year":"2015","unstructured":"Albu S, Babighian G, Amadori M, Trabalzini F (2015) Endolymphatic sac surgery versus tenotomy of the stapedius and tensor tympani muscles in the management of patients with unilateral definite Meniere\u2019s disease. Eur Arch Otorhinolaryngol 272(12):3645\u20133650. https:\/\/doi.org\/10.1007\/s00405-014-3428-1","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"3","key":"7580_CR16","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.otohns.2006.08.031","volume":"136","author":"GM Brinson","year":"2007","unstructured":"Brinson GM, Chen DA, Arriaga MA (2007) Endolymphatic mastoid shunt versus endolymphatic sac decompression for M\u00e9ni\u00e8re\u2019s disease. Otolaryngol Head Neck Surg 136(3):415\u2013421. https:\/\/doi.org\/10.1016\/j.otohns.2006.08.031","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"7580_CR17","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/S0194-5998(98)70370-5","volume":"118","author":"GJ Gianoli","year":"1998","unstructured":"Gianoli GJ, Larouere MJ, Kartush JM, Wayman J (1998) Sac-vein decompression for intractable Meniere\u2019s disease: two-year treatment results. Otolaryngol Head Neck Surg 118(1):22\u201329. https:\/\/doi.org\/10.1016\/S0194-5998(98)70370-5","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"3","key":"7580_CR18","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1177\/019459988910000304","volume":"100","author":"RP Jennings","year":"1989","unstructured":"Jennings RP, Reams CL, Jacobson J, Cole JM (1989) Results of surgical treatment for Meni\u00e8re\u2019s disease. Otolaryngol Head Neck Surg 100(3):195\u2013199. https:\/\/doi.org\/10.1177\/019459988910000304","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"8","key":"7580_CR19","doi-asserted-by":"publisher","first-page":"1838","DOI":"10.1002\/lary.23332","volume":"122","author":"SH Kim","year":"2012","unstructured":"Kim SH, Ko SH, Ahn SH, Hong JM, Lee W-S (2012) Significance of the development of the inner ear third window effect after endolymphatic sac surgery in M\u00e9ni\u00e8re disease patients. Laryngoscope 122(8):1838\u20131843. https:\/\/doi.org\/10.1002\/lary.23332","journal-title":"Laryngoscope"},{"key":"7580_CR20","first-page":"269","volume":"42","author":"M Kitahara","year":"1988","unstructured":"Kitahara M, Kitajima K (1988) Intramastoid drainage surgery for M\u00e9ni\u00e8re\u2019s disease-critical analysis of variation of surgical results for M\u00e9ni\u00e8re\u2019s disease. Adv Otorhinolaryngol 42:269\u2013274","journal-title":"Adv Otorhinolaryngol"},{"issue":"4","key":"7580_CR21","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1016\/S0194-59980300084-6","volume":"128","author":"VB Ostrowski","year":"2003","unstructured":"Ostrowski VB, Kartush JM (2003) Endolymphatic sac-vein decompression for intractable Meniere\u2019s disease: long term treatment results. Otolaryngol Head Neck Surg 128(4):550\u2013559. https:\/\/doi.org\/10.1016\/S0194-59980300084-6","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"7580_CR22","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1177\/019459988509300501","volume":"93","author":"BW Pearson","year":"1985","unstructured":"Pearson BW, Brackmann DE (1985) Committee on Hearing and Equilibrium guidelines for reporting treatment results in Meniere\u2019s disease. Otolaryngol Head Neck Surg 93(5):579\u2013581. https:\/\/doi.org\/10.1177\/019459988509300501","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"7580_CR23","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1159\/000013781","volume":"3","author":"A Quaranta","year":"1998","unstructured":"Quaranta A, Marini F, Sallustio V (1998) Long-term outcome of M\u00e9ni\u00e8re\u2019s disease: endolymphatic mastoid shunt versus natural history. Audiol Neuro-Otol 3(1):54\u201360. https:\/\/doi.org\/10.1159\/000013781","journal-title":"Audiol Neuro-Otol"},{"issue":"4","key":"7580_CR24","first-page":"444","volume":"18","author":"A Quaranta","year":"1997","unstructured":"Quaranta A, Onofri M, Sallustio V, Iurato S (1997) Comparison of long-term hearing results after vestibular neurectomy, endolymphatic mastoid shunt, and medical therapy. Am J Otol 18(4):444\u2013448","journal-title":"Am J Otol"},{"issue":"5","key":"7580_CR25","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1067\/mhn.2001.119485","volume":"125","author":"L Sennaroglu","year":"2001","unstructured":"Sennaroglu L, Sennaroglu G, Gursel B, Dini FM (2001) Intratympanic dexamethasone, intratympanic gentamicin, and endolymphatic sac surgery for intractable vertigo in Meniere\u2019s disease. Otolaryngol Head Neck Surg 125(5):537\u2013543. https:\/\/doi.org\/10.1067\/mhn.2001.119485","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"7580_CR26","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1080\/00016489850182413","volume":"118","author":"J Thomsen","year":"1998","unstructured":"Thomsen J, Bonding P, Becker B, Stage J, Tos M (1998) The non-specific effect of endolymphatic sac surgery in treatment of Meniere\u2019s disease: a prospective, randomized controlled study comparing \u201cclassic\u201d endolymphatic sac surgery with the insertion of a ventilating tube in the tympanic membrane. Acta Oto-Laryngol 118(6):769\u2013773","journal-title":"Acta Oto-Laryngol"},{"issue":"7","key":"7580_CR27","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1097\/01.mao.0000226312.82069.76","volume":"27","author":"I Tyagi","year":"2006","unstructured":"Tyagi I, Goyal A, Syal R (2006) Sac surgery results as a function of preoperative distress level. Otol Neurotol 27(7):951\u2013955. https:\/\/doi.org\/10.1097\/01.mao.0000226312.82069.76","journal-title":"Otol Neurotol"},{"issue":"2","key":"7580_CR28","first-page":"278","volume":"17","author":"DB Welling","year":"1996","unstructured":"Welling DB, Pasha R, Roth LJ, Barin K (1996) The effect of endolymphatic sac excision in Meni\u00e8re disease. Am J Otol 17(2):278\u2013282","journal-title":"Am J Otol"},{"issue":"11","key":"7580_CR29","doi-asserted-by":"publisher","first-page":"1144","DOI":"10.1001\/archotol.134.11.1144","volume":"134","author":"SJ Wetmore","year":"2008","unstructured":"Wetmore SJ (2008) Endolymphatic sac surgery for M\u00e9ni\u00e8re\u2019s disease: long-term results after primary and revision surgery. Arch Otolaryngol Head Neck Surg 134(11):1144\u20131148. https:\/\/doi.org\/10.1001\/archotol.134.11.1144","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"2","key":"7580_CR30","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.otohns.2009.03.014","volume":"141","author":"MS Yu","year":"2009","unstructured":"Yu MS, Lee KS, Chung JW (2009) Long-term results of endolymphatic mastoid shunt surgery in patients with intractable M\u00e9ni\u00e8re\u2019s disease. Otolaryngol Head Neck Surg 141(2):237\u2013242. https:\/\/doi.org\/10.1016\/j.otohns.2009.03.014","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"7580_CR31","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1007\/s11596-016-1654-z","volume":"36","author":"Y Zhang","year":"2016","unstructured":"Zhang Y, Cui YH, Hu Y, Mao ZY, Wang QX, Pan C, Liu AG (2016) Changes in endolymphatic hydrops visualized by magnetic resonance imaging after sac surgery. J Huazhong Univ Sci Technol Med Sci 36(5):736\u2013740. https:\/\/doi.org\/10.1007\/s11596-016-1654-z","journal-title":"J Huazhong Univ Sci Technol Med Sci"},{"issue":"6","key":"7580_CR32","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1097\/MAO.0000000000000324","volume":"35","author":"AJ Sood","year":"2014","unstructured":"Sood AJ, Lambert PR, Nguyen SA, Meyer TA (2014) Endolymphatic sac surgery for M\u00e9ni\u00e8re\u2019s disease: a systematic review and meta-analysis. Otol Neurotol 35(6):1033\u20131045","journal-title":"Otol Neurotol"}],"updated-by":[{"DOI":"10.1007\/s00405-022-07717-9","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T00:00:00Z","timestamp":1667952000000}}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-022-07580-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-022-07580-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-022-07580-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T03:12:04Z","timestamp":1675653124000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-022-07580-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,8]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["7580"],"URL":"https:\/\/doi.org\/10.1007\/s00405-022-07580-8","relation":{"correction":[{"id-type":"doi","id":"10.1007\/s00405-022-07717-9","asserted-by":"object"}]},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,8]]},"assertion":[{"value":"30 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 October 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 November 2022","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00405-022-07717-9","URL":"https:\/\/doi.org\/10.1007\/s00405-022-07717-9","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflicts of interest to declare that are relevant to the content of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All the authors consent to participation and publication of this manuscripts.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}