Hostname: page-component-5c6d5d7d68-wp2c8 Total loading time: 0 Render date: 2024-08-10T10:17:53.988Z Has data issue: false hasContentIssue false
  • English
  • Français

Triple semicircular canal occlusion: a surgical perspective with short- and long-term outcomes

Published online by Cambridge University Press:  29 November 2021

G Kontorinis Open the ORCID record for G Kontorinis [Opens in a new window]  and
G Thachil
G Kontorinis*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
G Thachil
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
*
Author for correspondence: Mr Georgios Kontorinis, Department of Otorhinolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, Scotland, UK E-mail: gkontorinis@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To determine the short- and long-term outcomes of triple semicircular canal occlusion as a potential alternative for patients with intractable Ménière's disease.

Methods

A retrospective case series was performed in university settings, enrolling patients with intractable Ménière's disease with previous maximum treatment, who underwent transmastoid, triple semicircular canal occlusion. The study documented: pre- and post-operative Dizziness Handicap Inventory scores at six weeks and one year post-treatment, pure tone audiometry, and surgical aspects.

Results

Two female patients, aged 42 and 65 years, underwent unilateral three-semicircular-canal occlusion. Their respective Dizziness Handicap Inventory scores improved from 88 to 68 and 54 to 30 at six weeks post-operatively, with scores of 66 and 0 at one year post-treatment. The one patient with pre-existing functional hearing maintained her hearing threshold post-operatively.

Conclusion

Triple semicircular canal occlusion is a safe, hearing-preserving, extracranial alternative technique that can control rotatory vertigo in patients with intractable Ménière's disease, when other measures have failed.

Keywords

DizzinessInner EarEndolymphSemicircular CanalsVertigo
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 2 , February 2022 , pp. 125 - 128
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr G Kontorinis takes responsibility for the integrity of the content of the paper

References

Beyea, JA, Agrawal, SK, Parnes, LS. Transmastoid semicircular canal occlusion: a safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence. Laryngoscope 2012;122:1862–6CrossRefGoogle ScholarPubMed
Deschenes, GR, Hsu, DP, Megerian, CA. Outpatient repair of superior semicircular canal dehiscence via the transmastoid approach. Laryngoscope 2009;119:1765–9CrossRefGoogle ScholarPubMed
Yin, S, Chen, Z, Yu, D, Wu, Y, Shi, H, Zhou, H et al. Triple semicircular canal occlusion for the treatment of Ménière's disease. Acta Otolaryngol 2008;128:739–43CrossRefGoogle ScholarPubMed
Zhang, D, Lv, Y, Han, Y, Li, Y, Li, X, Wang, J et al. Long-term outcomes of triple semicircular canal plugging for the treatment of intractable Meniere's disease: a single center experience of 361 cases. J Vestib Res 2019;29:315–22CrossRefGoogle ScholarPubMed
Tikka, T, Kontorinis, G. Temporal bone anatomy in superior semicircular canal dehiscence: a case control study on bone pneumatization and the level of middle cranial fossa. Otol Neurotol 2020;41:e334–41CrossRefGoogle Scholar
Yin, S, Yu, D, Li, M, Wang, J. Triple semicircular canal occlusion in guinea pigs with endolymphatic hydrops. Otol Neurotol 2006;27:78–85CrossRefGoogle ScholarPubMed
Gianoli, GJ, Duff, B, Kartush, JM, Bouchard, KR. Triple semicircular canal occlusion versus labyrinthectomy in the cat. Am J Otol 1997;18:74–8Google ScholarPubMed
Gill, C, Muzaffar, J, Kumar, R, Irving, R. Triple canal occlusion for the treatment of intractable Menière's disease. Otol Neurotol 2021;42:116–20CrossRefGoogle ScholarPubMed

Kontorinis and Thachil supplementary material

Kontorinis and Thachil supplementary material

Download Kontorinis and Thachil supplementary material(Video)
Video 98.3 MB