JoVE Video Dataset

Abstract

Endolymphatic duct blockage is a relatively new treatment option for Ménière's disease, aiming to reduce vertigo attacks while sparing hearing and equilibrium. After a regular mastoidectomy, the posterior semicircular canal is identified, and Donaldson's line is determined. This is a line through the horizontal semicircular canal, crossing the posterior semicircular canal. The endolymphatic sac is usually found at this site under the posterior semicircular canal. The bone of the endolymphatic sac and the dura are thinned until the sac is skeletonized, after which the endolymphatic duct is identified. The duct is then blocked with a titanium clip. Using a computerized tomography (CT) scan, the position is confirmed. Follow-up visits take place 1 week, 6 weeks and 1 year after surgery. To this day, only one prospective trial assessing this method has been conducted, comparing this new method to endolymphatic sac decompression. Results of the duct blockage are promising, with 96.5% of the patients free of vertigo after 2 years. However, further research is required.

Authors 5

1. Annejet Alida Schenck Aachen Department of Otorhinolaryngology, Leiden University Medical Centre

   Leiden University · Leiden University Medical Center · Haga Hospital

   Affiliation as printed

   Department of Otorhinolaryngology, Haga Hospital

   Department of Otorhinolaryngology, Leiden University Medical Centre

2. Issam Saliba

   Centre Hospitalier de l’Université de Montréal · Université de Montréal

   Affiliation as printed

   Division of Otolaryngology-Head and Neck Surgery, Montreal University Hospital Center (CHUM), University of Montreal

3. Josephina Maria Kruyt

   Bergman Clinics

   Affiliation as printed

   Department of Otorhinolaryngology, Bergman Clinics

4. Peter Paul G. van Benthem Aachen Department of Otorhinolaryngology, Leiden University Medical Centre

   Leiden University · Leiden University Medical Center

   Affiliation as printed

   Department of Otorhinolaryngology, Leiden University Medical Centre

5. Hendrikus Maria Blom Aachen Department of Otorhinolaryngology, Leiden University Medical Centre

   Leiden University · Leiden University Medical Center · Antwerp University Hospital · Haga Hospital

   Affiliation as printed

   Department of Otorhinolaryngology, Antwerp University Hospital

   Department of Otorhinolaryngology, Haga Hospital

   Department of Otorhinolaryngology, Leiden University Medical Centre