Endolymphatic sac enhancement surgery in elderly patients with Meniere's disease

Hamed Sajjadi, Michael M. Paparella, Thomas Williams

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Meniere's disease is a pathologic condition of the inner ear that is characterized by vertigo, tinnitus and a progressive loss of hearing. When Meniere's disease is unresponsive to medical treatment and when destructive surgery is not advisable, patients, particularly the elderly, often benefits from endolymphatic sac enhancement, a conservative, nondestructive surgical procedure. We evaluated the outcomes of 62 such patients, aged 65 years and older, who underwent a total of 78 endolymphatic sac enhancements. We assessed their response to surgery by means os a questionnaire, which classified pre- and post-surgical data according to criteria established by the American Academy of Otolaryngology-Head and Neck Surgery. Of the 27 patients who returned questionnaires, 23 reported significant alleviation of vertigo symptoms and 19 said their hearing ability had either improved or was maintained at presurgical levels. Endolymphatic sac enhancement resulted in no mortality was documented in only one patient. We conclude that endolymphatic sac enhancement is a safe and viable treatment for elderly patients with Meniere's disease that is refractory to medical therapy.

Original languageEnglish (US)
Pages (from-to)975-982
Number of pages8
JournalEar, Nose and Throat Journal
Issue number12
StatePublished - Dec 1 1998

Bibliographical note

Funding Information:
The MANTRA campaigns have been supported by the Canadian Space Agency, the Meteorological Service of Canada, the Natural Sciences and Engineering Research Council, and the Centre for Research in Earth and Space Technology (CRESTech). S. M. L. Melo was also supported by the Canadian Foundation for Climate and Atmospheric Sciences. We thank the two anonymous referees for their helpful comments.


Dive into the research topics of 'Endolymphatic sac enhancement surgery in elderly patients with Meniere's disease'. Together they form a unique fingerprint.

Cite this