{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:49:23Z","timestamp":1777524563790,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4795,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>W<jats:italic>e<\/jats:italic> sought to determine the long\u2010term efficacy of endolymphatic sac\u2010vein decompression surgery on patients with classic Meniere's disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING<\/jats:title><jats:p>Using the 1995 American Academy of Otolaryngology\u2013Head and Neck Surgery Committee on Hearing and Equilibrium criteria, starting stage, functional level, vertigo class, and hearing results were addressed. We studied 68 patients with classic Meniere's disease from a tertiary, private otology\u2010neurotology practice. Patient data were gathered by retrospective chart review, questionnaire, and patient interview. All patients underwent endolymphatic sac\u2010vein decompression with an average follow\u2010up period of 55\u00a0months. <jats:italic>RESULTS<\/jats:italic>: Median functional level before surgery was level 4, improving to level 2 after surgery. Eighty\u2010one percent of patients showed improvement in functional level, 12% remained stable, and 7% declined. Long\u2010term vertigo control was 47% in class A, 25% in class B, 9% in class C, 3% in class D, and 16% in class F. Twenty percent of patients were in hearing stage I Meniere's disease; 31%, stage II; 44%, stage III; and 5%, stage IV. Eighteen percent of patients showed improvement in hearing class, 64% were stable, and 18% declined.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Endolymphatic sac\u2010vein decompression surgery is a safe, nondestructive surgical option for Meniere's disease that offers durable control of vertigo and stabilization of hearing for the majority of symptomatic patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>The beneficial long\u2010term outcome of the endolymphatic sac\u2010vein decompression supports its continued use as a first\u2010line treatment option in intractable Meniere's disease.<\/jats:p><\/jats:sec>","DOI":"10.1016\/s0194-59980300084-6","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:26:48Z","timestamp":1664371608000},"page":"550-559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Endolymphatic Sac\u2010Vein Decompression for Intractable Meniere's Disease: Long Term Treatment Results"],"prefix":"10.1002","volume":"128","author":[{"given":"Vincent B.","family":"Ostrowski","sequence":"first","affiliation":[{"name":"Michigan Ear Institute Farmington Hills MI"},{"name":"Providence Hospital Southfield MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack M.","family":"Kartush","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills MI"},{"name":"Providence Hospital Southfield MI"},{"name":"Department of Otolaryngology Wayne State University Detroit Detroit MI"},{"name":"Department of Otolaryngology Medical College of Ohio Toledo OH"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30695-2"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1969.00770020818006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198405000-00020"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70370-5"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70102-8"},{"key":"e_1_2_6_7_1","first-page":"337","volume-title":"Handbook of Balance Function Testing. 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