書誌事項
- タイトル別名
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- Endolymphatic Sac Drainage and Steroid-Instillation Surgery (EDSS) for Intractable Meniere's Disease.
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抄録
Endolymphatic sac surgery is one of the most widely accepted techniques used to treat intractable Meniere's disease. To improve this surgery, we developed the following techniques: A simple mastoidectomy was used to expose the endolymphatic sac between the sigmoid sinus and inferior margin of the posterior semicircular canal. The sac was opened and filled with a mass of prednisolone. A bundle of absorbable gelatin films was then inserted into the sac lumen to expand it, followed by gelatin sponges dipped in a high concentration of dexamethasone. Long-term results (17-32 months) in 20 patients with intractable Meniere's disease treated with endolymphatic sac drainage and steroid-insertion surgery (EDSS) showed that definitive spells were completely controlled in 15 of 20 cases (75%); all reports of vertigo decreased; hearing improved in 12 of 20 cases (60%); and annoyance due to tinnitus decreased in 15 of 20 cases (75%). Steroids directly instilled into the endolymphatic cavity may thus be more effective with the diseased inner ear organs than those applied via any other route. Drainaging of endolymphatic fluid at the sac into the mastoid cavity also contributed to these satisfactory EDSS results.
収録刊行物
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- 日本耳鼻咽喉科学会会報
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日本耳鼻咽喉科学会会報 104 (7), 728-734, 2001
一般社団法人 日本耳鼻咽喉科頭頸部外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679983122560
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- NII論文ID
- 10007068112
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- NII書誌ID
- AN00191551
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- ISSN
- 18830854
- 00306622
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- PubMed
- 11524824
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- PubMed
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- 抄録ライセンスフラグ
- 使用不可