|
FUKUSHIMA Munehisa
Department School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine Position Assistant Professor |
|
| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Presence of invitation | Invited paper |
| Title | Case Report: Positive Pressure Therapy Combined With Endolymphatic sac Surgery in a Patient With Ménière's Disease. |
| Journal | Formal name：Frontiers in surgery Abbreviation：Front Surg ISSN code：2296875X/2296875X |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 8,pp.606100 |
| Author and coauthor | Fukushima Munehisa†*, Akahani Shiro, Inohara Hidenori, Takeda Noriaki |
| Authorship | Lead author,Corresponding author |
| Publication date | 2021 |
| Summary | 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 |