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Endoscopic tenotomy in Ménière’s disease: is it effective?

Published online by Cambridge University Press:  15 July 2025

Noha Ahmed El-Kholy Open the ORCID record for Noha Ahmed El-Kholy [Opens in a new window] ,
Mohammed Abdelbadie Salem ,
Mohamed Rashad Ghonim  and
Javier Gavilán
Noha Ahmed El-Kholy*
Affiliation:
Department of Otorhinolaryngology – Head & Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Mohammed Abdelbadie Salem
Affiliation:
Department of Otorhinolaryngology – Head & Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Mohamed Rashad Ghonim
Affiliation:
Department of Otorhinolaryngology – Head & Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Javier Gavilán
Affiliation:
Department of Otorhinolaryngology – Head & Neck Surgery, La Paz University Hospital, Madrid, Spain
*
Corresponding author:Noha Ahmed El-Kholy; Email: nohaaelkholy@gmail.com
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Abstract

Objectives

This study aims to report our experience with endoscopic tenotomy in treatment of Ménière’s disease as its reported role in literature is still controversial.

Methods

Patients diagnosed with unilateral definite Ménière’s disease and underwent endoscopic tenotomy of middle-ear muscles in our tertiary care centre were retrospectively evaluated. Pure tone average, frequency of vertiginous attacks, functional level, tinnitus scale and Dizziness Handicap Inventory were compared pre-operatively and post-operatively.

Results

Twenty-eight cases were included in the study with an average age of 50.78 ± 12.16 years. At the 2-year follow-up period, 16 cases (57.14 per cent) achieved complete control of vertigo, 5 cases (17.85 per cent) had substantial vertigo control, and 3 cases (10.71 per cent) had limited control. Significant improvement in Dizziness Handicap Inventory and functional level also was found post-operatively.

Conclusion

Endoscopic tenotomy for Ménière’s disease is easy and simple with no serious complications, but its relatively low results of absolute vertigo control limit its consideration as a definitive treatment.

Keywords

Meniere diseasetenotomydizzinessvertigo

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 7
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Noha Ahmed El-Kholy takes responsibility for the integrity of the content of the paper. This research was presented at the 25th International Otology Course held in Causse Ear Clinic Colombiers (France), 3-5 July 2025, as a poster presentation.

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