Labrynthectomy for Giddiness


Poorly compensated unilateral peripheral vestibular disorder is managed using an effective surgical procedure called. Labyrinthectomy The basic principle is to symmetrically open all the semicircular canals and vestibules while the landmarks are preserved until the end of balance surgery. There are two techniques for vestibular end organ ablation: transcanal Labyrinthectomy and transmastoid Labyrinthectomy. Vestibular disorder should be given appropriate medical treatment before Labyrinthectomy. Labyrinthectomy and vestibular neurectomy are the gold standard for management of disabling vertigo in patients with Ménière's disease. These procedures reduce or eliminate episodic vertigo in a major percentage. However, they have relatively high surgical morbidity and can lead to complete hearing loss and permanent vestibular injury with resulting ataxia and imbalance. And, these procedures are typically performed only at major medical centers by ENT specialist. This procedure is performed in a patient with unremitting vertigo attacks when the hearing in the affected ear has deteriorated to such an extent that the hearing is no longer useful to the patient. This surgery destroys the entire labyrinth, or inner ear for balance. Treatments including chemical Labyrinthectomy are less invasive and are associated with fewer risks and side effects.

Endolymphatic SAC decompression - For Giddiness


Endolymphatic sac decompression is a surgical treatment alternative for patients with medically intractable Ménière's syndrome. Effectiveness of the method is debated because of the great variability.

Endolymphatic sac decompression and endolymphatic-mastoid shunting are effective management with less complication for intractable Ménière's disease. The vertigo symptoms were controlled significantly in patients with Ménière's disease in advanced clinical stages. The patients with Ménière's disease refractory to medical management are ideal candidates for this type of treatment. It has a low surgical morbidity and it does not significantly impact hearing and it does not destroy the inner ear structures. It; preserves both hearing and balance. Some of the bone surrounding the inner ear is removed. Some cases, endolymphatic sac decompression are coupled with the placement of an endolymphatic shunt.

Microsurgery for balance disorder correction


Microsurgery is a general term for surgery requiring an operating microscope. Microsurgery of the ear is done by an ear specialist to restore hearing loss due to otosclerosis, trauma and chronic otitis media. It is largely indicated in large and growing tumors, tumors with annoying vertigo and tinnitus. Incidence of permanent complications can be decreased with the improvement of microsurgical technique.
Hearing preservation is possible in the significant proportion of cases. The risk of developing balance problems after the surgery is not unavoidable, but most patients recover well.

Tympanoplasty is a surgical procedure to reconstruct a perforated tympanic membrane or the small bones of the middle ear. Since the structures of the ear are very small, the surgery is usually performed with an operating microscope. The microscope enlarges the view of the ear structures sufficiently so the ear surgeon can perform the delicate tasks needed. Microsurgery of the ear is often called, Otomicrosurgery or Otologic surgery.
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