The Journal of International
Advanced Otology
Original Article

Endolymphatic Duct and Sac Decompression: A New Life for an Old Technique


Department of Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Roma, Italy


Department of Otolaringology, Campus Bio-Medico University, Alvaro del Portillo, Rome, Italy

J Int Adv Otol 2023; 19: 511-516
DOI: 10.5152/iao.2023.221025
Read: 481 Downloads: 207 Published: 30 November 2023

BACKGROUND: Ménière’s disease is an inner ear disorder causing recurrent vertigo, hearing loss, and tinnitus. Diagnosis is based on the variability of the symptoms over time and absence of radiological abnormalities. Medical therapy is effective only in a small percentage of patients. Surgical strategies remain controversial. In this article, we revisit a surgical technique neglected over the years: endolymphatic sac surgery.

METHODS: Fifty-four patients affected by Ménière’s disease underwent endolymphatic duct and sac decompression. According to the American Academy of Otolaryngology–Head and Neck Surgery criteria, vertigo control was evaluated with follow-up at 6 months, 1 year, and 2 years from the intervention. Hearing results were evaluated before the surgery and at 2 years of follow-up using the pure tone average. The results were compared with similar techniques of endolymphatic sac surgery described in the literature.

RESULTS: According to the American Academy of Otolaryngology–Head and Neck Surgery criteria classification, 2 years after surgery, 87% patients achieved complete control of vertigo (class A). The hearing remained stable in 93.5% of patients. The results appear compatible with other publications data regarding endolymphatic sac surgeries.

CONCLUSION: The duct and endolymphatic sac decompression allows the control of vertigo and preserves hearing from the pathological effects of Ménière’s disease. The revised technique allows the functional restoration of endolymphatic homeostasis.

Cite this article as: Salvinelli F, Bonifacio F, Bigliardo C, et al. Endolymphatic duct and sac decompression: A new life for an old technique. J Int Adv Otol. 2023;19(6):511-516.

EISSN 2148-3817