Vertigo surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Vertigo}} | {{Vertigo}} | ||
{{CMG}} | {{CMG}} {{AE}} {{ZMalik}} | ||
==Overview== | ==Overview== | ||
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==Surgery== | ==Surgery== | ||
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* Surgery is not the first-line treatment option for patients withvertigo. Surgery is usually reserved for patients with: | |||
**[[Ménière’s disease]]: Decompress [[endolymphatic]] sac, [[labyrinthectomy]], [[Vestibular nerve section]]<ref name="SyedAldren2012">{{cite journal|last1=Syed|first1=I.|last2=Aldren|first2=C.|title=Meniere’s disease: an evidence based approach to assessment and management|journal=International Journal of Clinical Practice|volume=66|issue=2|year=2012|pages=166–170|issn=13685031|doi=10.1111/j.1742-1241.2011.02842.x}}</ref>. | **[[Ménière’s disease]]: Decompress [[endolymphatic]] sac, [[labyrinthectomy]], [[Vestibular nerve section]]<ref name="SyedAldren2012">{{cite journal|last1=Syed|first1=I.|last2=Aldren|first2=C.|title=Meniere’s disease: an evidence based approach to assessment and management|journal=International Journal of Clinical Practice|volume=66|issue=2|year=2012|pages=166–170|issn=13685031|doi=10.1111/j.1742-1241.2011.02842.x}}</ref>. | ||
**[[Acoustic neuroma]]: For large, [[symptomatic]], growing [[tumor]] one of the following treatment is helpful after weighing risks and benefits: [[Radiotherapy]], [[radiosurgery]] or surgical removal. | **[[Acoustic neuroma]]: For large, [[symptomatic]], growing [[tumor]] one of the following treatment is helpful after weighing risks and benefits: [[Radiotherapy]], [[radiosurgery]] or surgical removal. | ||
**[[Benign paroxysmal positional vertigo]]: For [[resistant]] and severe cases [[occlusion]] of [[semi-circular canal]] may be helpful. | **[[Benign paroxysmal positional vertigo]]: For [[resistant]] and severe cases [[occlusion]] of [[semi-circular canal]] may be helpful. | ||
**[[Cholesteatoma]]: Surgical removal followed by periodic follow-ups. | **[[Cholesteatoma]]: Surgical removal followed by periodic follow-ups. | ||
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==References== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
Latest revision as of 00:57, 21 January 2021
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Vertigo Microchapters |
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Vertigo surgery On the Web |
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American Roentgen Ray Society Images of Vertigo surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
For the majority of underlying causes of vertigo, the mainstay of treatment is medical therapy. Surgery is usually reserved for patients with either tumor associated vertigo, cholesteatoma, and/or when it does not respond to multiple medical therapies.
Surgery
- Surgery is not the first-line treatment option for patients withvertigo. Surgery is usually reserved for patients with:
- Ménière’s disease: Decompress endolymphatic sac, labyrinthectomy, Vestibular nerve section[1].
- Acoustic neuroma: For large, symptomatic, growing tumor one of the following treatment is helpful after weighing risks and benefits: Radiotherapy, radiosurgery or surgical removal.
- Benign paroxysmal positional vertigo: For resistant and severe cases occlusion of semi-circular canal may be helpful.
- Cholesteatoma: Surgical removal followed by periodic follow-ups.
- Otosclerosis: Surgical procedure of choice is stapedectomy.[2]
- Cerebellopontine angle tumors: Observation, radiotherapy, or microsurgery is selected as a plan of treatment after assessing the size/growth of the tumor, age of the patient, and comorbidities.[3]
References
- ↑ Syed, I.; Aldren, C. (2012). "Meniere's disease: an evidence based approach to assessment and management". International Journal of Clinical Practice. 66 (2): 166–170. doi:10.1111/j.1742-1241.2011.02842.x. ISSN 1368-5031.
- ↑ Mahafza T, Al-Layla A, Tawalbeh M, Abu-Yagoub Y, Atwan Sulaiman A (2013). "Surgical Treatment of Otosclerosis: Eight years' Experience at the Jordan University Hospital". Iran J Otorhinolaryngol. 25 (73): 233–8. PMC 3846245. PMID 24303446.
- ↑ Huang, May Y; Vermeulen, Sandra (2003). "Clinical perspectives regarding patients with internal auditory canal or cerebellopontine angle lesions: Surgical and radiation oncology perspectives". Seminars in Ultrasound, CT and MRI. 24 (3): 124–132. doi:10.1016/S0887-2171(03)90034-5. ISSN 0887-2171.