Endolymphatic sac decompression and shunt placement

Endolymphatic sac decompression and shunt placement: Publication date: September 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 3Author(s): Sarah E. Mowry, Mark Frilling, Nauman F. Manzoor, Maroun T. Semaan, Cliff A. MegerianEndolymphatic sac decompression and shunting is a nonablative surgical option for patients with intractable Meniere's disease. Sac surgery had a high success rate for vertigo control in this population with 75%-95% of patients experiencing improvement or resolution of their vertigo spells. The addition of high-dose steroid instillation into the sac has demonstrated improved vertigo rates. The risk of complications is low but includes hearing loss, persistent vestibular dysfunction, cerebrospinal fluid (CSF) leak or facial nerve injury. Decompression or shunt placement should be...