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I. Kaufman Arenberg, MD; Gershon J. Spector, MD

Arch Otolaryngol. 1977;103(5):268-270.

Abstract
• Thirty-five patients with Meniere disease underwent endolymphatic sac decompression and drainage with a Silastic sac-mastoid shunt. On the basis of patients' responses to a questionnaire and on analysis of preoperative and postoperative audiometric studies, we found the method to be an effective means for conservation or improvement of hearing and for relief of vertigo in patients with positive glycerol tests.

Of the 35 patients, eight had negative glycerol tests and did not benefit from surgery (P <.001). Of the 27 patients with positive glycerol tests, 70.4% (19) had no further vertigo, and 18.5% (5) had decreased frequency or severity of attacks (an overall relief of vertigo in 88.9%). Hearing was improved in 16 (59.2%) and stabilized in five (18.5%). Subjectively, 85.2% (23/35) of the patients were satisfied with the hearing results of their operation.

(Arch Otolaryngol 103:268-270, 1977)

Author Affiliations
From the Department of Otolaryngology, Washington University School of Medicine, St Louis. Dr Arenberg is now at the University of Wisconsin Hospitals and Health Science Center, Madison.

Footnotes
Accepted for publication Oct 4, 1976.

This study was awarded second prize for clinical research by the American Academy of Ophthalmology and Otolaryngology Committee on Research, Dallas, September 1975.

Reprint requests to Department of Surgery (Otolaryngology), University of Wisconsin Hospitals and Health Sciences Center, 1300 University Ave, Madison, WI 53706 (Dr Arenberg).

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