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Clinical study of tympanostomy tube placement for patients with intractable Ménière's disease

Published online by Cambridge University Press:  30 January 2015

Y Ogawa ,
K Otsuka ,
A Hagiwara ,
A Inagaki ,
S Shimizu ,
N Nagai ,
S Itani ,
Y Saito  and
M Suzuki
Y Ogawa*
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
K Otsuka
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
A Hagiwara
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
A Inagaki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Shimizu
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
N Nagai
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Itani
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
Y Saito
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
M Suzuki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
*
Address for correspondence: Dr Y Ogawa, Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan E-mail: y-ogawa8@tokyo-med.ac.jp
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Abstract

Objective:

To evaluate the effectiveness of tympanostomy tube placement in controlling symptoms of intractable Ménière's disease.

Methods:

Fifteen patients with intractable Ménière's disease underwent tympanostomy tube placement in the affected ear. Post-operative changes in vertigo attacks and hearing level were recorded, and were evaluated according to American Academy of Otolaryngology–Head and Neck Surgery criteria.

Results:

At 12 months after treatment, 3 patients (20 per cent) showed complete control of vertigo, 7 (47 per cent) showed substantial control and 2 (13 per cent) showed limited control; 3 patients (20 per cent) required other treatment. At 24 months after treatment, 7 patients (47 per cent) showed complete control of vertigo, 3 (20 per cent) showed substantial control and 1 (7 per cent) showed limited control; 1 patient required other treatment 15 months after tympanostomy tube placement.

Conclusion:

There is no definite pathophysiological explanation for the effect of tympanostomy tube placement in reducing vertigo attacks. This treatment is not effective for all patients with intractable Ménière's disease. However, tympanostomy tube placement might be an additional surgical therapeutic option to consider prior to contemplating other, more invasive treatments.

Keywords

Middle Ear VentilationVertigoDizzinessMeniere's SyndromeEndolymphatic Hydrops
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 2 , February 2015 , pp. 120 - 125
Copyright
Copyright © JLO (1984) Limited 2015 

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