Surgical Management of Intractable Meniere's Disease.
Level 5 - mechanism / opinion, no new human data
Narrative review of surgical management without systematic methodology
PubMed 35861458 · doi:10.5935/0946-5448.20220007
What was done
The authors reviewed literature regarding surgical options for intractable Meniere's disease unresponsive to dietary modifications and medical treatments. The review summarizes established procedures (endolymphatic sac surgery, vestibular nerve section, labyrinthectomy) and combined ablative surgery with simultaneous cochlear implantation.
What was found
No quantitative findings, comparative statistics, or numerical outcomes were provided in the abstract. The authors qualitatively describe invasive surgical approaches as having high symptom control rates alongside potential risks to hearing function.
Why it matters
This review outlines surgical escalation options for medically refractory Meniere's disease and highlights cochlear implantation as an adjunct to ablative interventions.
Limits
As a narrative review, it lacks a systematic search protocol, quantitative data synthesis, and formal risk-of-bias evaluation. The abstract provides no specific patient counts, effect sizes, or outcome rates.
Cited by
- context Surgical removal of internal ear structures does not eliminate tinnitus originating in the auditory cortex.