Vertigo surgery: Difference between revisions
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{{Vertigo}} | |||
{{CMG}} {{AE}} {{ZMalik}} | |||
==Overview== | ==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. | ||
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* Surgical | ==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>. | |||
**[[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]].<ref name="pmid24303446">{{cite journal| author=Mahafza T, Al-Layla A, Tawalbeh M, Abu-Yagoub Y, Atwan Sulaiman A| title=Surgical Treatment of Otosclerosis: Eight years' Experience at the Jordan University Hospital. | journal=Iran J Otorhinolaryngol | year= 2013 | volume= 25 | issue= 73 | pages= 233-8 | pmid=24303446 | doi= | pmc=3846245 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24303446 }} </ref> | |||
**[[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]].<ref name="HuangVermeulen2003">{{cite journal|last1=Huang|first1=May Y|last2=Vermeulen|first2=Sandra|title=Clinical perspectives regarding patients with internal auditory canal or cerebellopontine angle lesions: Surgical and radiation oncology perspectives|journal=Seminars in Ultrasound, CT and MRI|volume=24|issue=3|year=2003|pages=124–132|issn=08872171|doi=10.1016/S0887-2171(03)90034-5}}</ref> | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Neurology]] | |||
[[Category:Otolaryngology]] | |||
Latest revision as of 00:57, 21 January 2021
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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.