Minimally Invasive Vestibular Neurectomy Versus Tenotomy of the Stapedius and Tensor Tympani Muscles in the Management of Patients With Unilateral Meniere's Disease

  • End date
    Jun 1, 2023
  • participants needed
  • sponsor
    Mansoura University
Updated on 18 July 2021


The distinctive symptoms of Meniere's disease (MD) include recurrent vertigo spells, fluctuating hearing loss, aural fullness and tinnitus. Conservative treatment in MD comprises lifestyle modifications, such as low-sodium diet, avoidance of caffeine, alcohol and stress, in addition to medication such as diuretics and betahistine. When conservative treatment fails, surgical management is attempted. Surgical interventions comprise transtympanic steroids or gentamicin, endolymphatic sac surgery (ES), ventilation tube placement, vestibular neurectomy, and labyrinthectomy. Recently, Loader et al. have presented encouraging results of the effectiveness of tenotomy of the stapedius and tensor tympani muscles (TSTM) in the management of patients with definite MD. Also, satisfactory results were obtained with endoscopic assisted minimally invasive vestibular neurectomy (MIVN). The aim of this study is to compare the clinical outcomes of MD patients who were submitted to either MIVN or TSTM in our department.

Condition Meniere's Disease
Treatment Surgical treatment
Clinical Study IdentifierNCT04847700
SponsorMansoura University
Last Modified on18 July 2021


Yes No Not Sure

Inclusion Criteria

unilateral definite Meniere's disease

Exclusion Criteria

other peripheral or central vestibular disorders, bilateral MD and neurologic disorders
Previous history of chronic otitis media or middle ear surgery
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