フクシマ ムネヒサ   Fukushima Munehisa
  福嶋 宗久
   所属   医学部 医学科(附属足立医療センター)
   職種   講師
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
招待の有無 招待あり
表題 Case Report: Positive Pressure Therapy Combined With Endolymphatic sac Surgery in a Patient With Ménière's Disease.
掲載誌名 正式名:Frontiers in surgery
略  称:Front Surg
ISSNコード:2296875X/2296875X
掲載区分国外
巻・号・頁 8,pp.606100
著者・共著者 Fukushima Munehisa†*, Akahani Shiro, Inohara Hidenori, Takeda Noriaki
担当区分 筆頭著者,責任著者
発行年月 2021
概要 Positive pressure therapy (PPT) is applied for medically-intractable vertigo in Ménière's disease (MD); however, it remains unknown whether PPT affects in vivo endolymphatic hydrops (EH). In this case report, we describe a 5-year course of MD in a patient in which EH was repeatedly observed. As the patient experienced recurrent vertigo attacks after endolymphatic sac surgery, he began to use the PPT device additionally and vertiginous episodes decreased in accordance with a decrease in the EH volume. The mechanism of PPT is suggested that the pressure increase in the middle ear inhibits EH development. PPT, if added after surgery, might be more effective to reduce EH volume compared with surgery alone. A larger study group size is required to test these preliminary data concerning EH changes.
DOI 10.3389/fsurg.2021.606100
PMID 33842529