{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T17:20:14Z","timestamp":1726507214556},"reference-count":29,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The present article aims to introduce the endolymphatic duct and sac decompression technique (DASD) and to give a spotlight on its benefits in M\u00e9ni\u00e8re\u2019s disease (MD) treatment.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>Eighty-two patients with intractable MD which met the inclusion criteria were recruited and underwent DASD. This technique allows a meningeal decompression of the duct and the sac from the posterior cranial fossa to the labyrinthine block. The authors considered as main outcomes, the change of the dizziness handicap inventory (DHI) results, with the evaluations of the three sub-scales (Functional scale, Physical scale, and Emotional scale); ear fullness and tinnitus change on the perceptions of the patient; and hearing stage with four-Pure Tone Average (500 hz-1000 hz-2000 hz-4000 hz). The differences between the preoperative and the postoperative score were evaluated. A comparison with the literature was conducted.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>After a 14-month follow-up, patients that underwent DASD reported a remarkable improvement of the symptoms in all three functional scales, confirmed by the total DHI. The difference between preoperative and postoperative scores is statistically significant. The data describe an ear fullness and tinnitus improvement. The multi-frequency tonal average before and after the surgery does not suggest a worsening of the value for any of 82 patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The modification of sac surgery includes the endolymphatic duct in the decompression area allowing inner ear functional improvement, vertigo control, ear fullness improvement with minimal risk of facial nerve paralysis, and hearing loss. DASD is an improved old surgical technique.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_187_2022","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T06:30:07Z","timestamp":1663309807000},"page":"418","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Endolymphatic duct and sac decompression: A new technique for M\u00e9ni\u00e8re\u2019s disease treatment"],"prefix":"10.25259","volume":"13","author":[{"given":"Fabrizio","family":"Salvinelli","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"},{"name":"Research Unit of Otorhinolaryngology, Campus Biomedico Universty, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Bonifacio","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Greco","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Cavicchioni","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria","family":"Frari","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelangelo","family":"Pierri","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Trivelli","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Fondazione Policlinico Campus Biomedico, Rome,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Iacoangeli","sequence":"additional","affiliation":[{"name":"Departement of Neurosurgery, Umberto I General University Hospital, Ancona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"10.25259\/SNI_187_2022\/ref-1","doi-asserted-by":"crossref","first-page":"3645","DOI":"10.1007\/s00405-014-3428-1","article-title":"Endolymphatic sac surgery versus tenotomy of the stapedius and tensor tympani muscles in the management of patients with unilateral definite Meniere\u2019s disease","volume":"272","author":"Albu","year":"2015","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.25259\/SNI_187_2022\/ref-2","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1097\/MAO.0000000000001810","article-title":"Endolymphatic sac decompression with intra-sac dexamethasone injection in Meni\u00e8re\u2019s disease","volume":"9","author":"Bojrab","year":"2018","journal-title":"Otol Neurotol"},{"key":"10.25259\/SNI_187_2022\/ref-3","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.anl.2018.04.006","article-title":"Comparison of VEMPs, VHIT and caloric test outcomes after vestibular neurectomy in Meni\u00e8re\u2019s disease","volume":"45","author":"Canale","year":"2018","journal-title":"Auris Nasus Larynx"},{"key":"10.25259\/SNI_187_2022\/ref-4","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1097\/01.mao.0000227661.52760.f1","article-title":"Outcome-based assessment of endolymphatic sac decompression for M\u00e9ni\u00e8re\u2019s disease using the M\u00e9ni\u00e8re\u2019s disease outcome questionnaire: A review of 90 patients","volume":"27","author":"Convert","year":"2006","journal-title":"Otol Neurotol"},{"key":"10.25259\/SNI_187_2022\/ref-5","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1001\/archotol.1984.00800330003001","article-title":"Human endolymphatic duct. 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