Endolymphatic Hydrops and Blockage of the Endolymphatic Duct

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Tinnitus & early endolymphatic hydrops.

Ménière's disease with all of its clinical manifestations can be divided into two categories – those symptoms that derive from the cochlea (the anterior labyrinth) and/or those that arise from the vestibular labyrinth or the posterior part of the inner ear. The symptoms that arise from the cochlea include hearing loss, which can be fluctuant and progressive and often is, or tinnitus which can b...

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Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct

Surgical induction of endolymphatic hydrops (ELH) in the guinea pig by obliteration and obstruction of the endolymphatic duct is a well-accepted animal model of the condition and an important correlate for human Meniere's disease. In 1965, Robert Kimura and Harold Schuknecht first described an intradural approach for obstruction of the endolymphatic duct (Kimura 1965). Although effective, this ...

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Effects of endolymphatic sac decompression surgery on endolymphatic hydrops.

CONCLUSIONS The present findings suggest that complete control of vertigo after endolymphatic sac decompression surgery (ESDS) does not always depend on improved vestibular function or reduced endolymphatic hydrops. Vertigo control is, however, associated with hearing stability. OBJECTIVE Among surgical treatments for intractable Meniere's disease, ESDS is performed to preserve and improve in...

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The endolymphatic duct and sac.

The endolymphatic duct (ED) and the endolymphatic sac (ES) are the nonsensory components of the endolymph-filled, closed, membranous labyrinth. The ED leads from the utricular and saccular ducts within the vestibule through the vestibular aqueduct (VA) to the ES, which extends through the distal VA out the external aperture of the aqueduct (Fig 1) to terminate in the epidural space of the poste...

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Endolymphatic Duct Blockage for Refractory Ménière's Disease: Assessment of Endolymphatic Sac Biopsy on Short-Term Surgical Outcomes.

OBJECTIVE Endolymphatic sac decompression (ESD) for the treatment of Ménière's disease (MD) has had limited success and variable results in the literature. We have devised a novel technique that involves blocking the endolymphatic duct with surgical clips. In a separate effort to study the endolymphatic sac (ELS), we have sectioned the lateral part of the main body of the ELS as biopsies from a...

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ژورنال

عنوان ژورنال: Otology & Neurotology

سال: 2009

ISSN: 1531-7129

DOI: 10.1097/mao.0b013e318184583f