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Otolaryngology, ENT & Sinus News Provided by Dallas ENTSurgical management of common peripheral vestibular diseasesAugust 20, 2010, 6:00 am by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: To review the latest developments in the surgical management of common peripheral vestibular disorders. Recent findings: Although surgery is indicated mainly for patients with Meniere's disease, other less common disorders such as benign paroxysmal positional vertigo, semicircular canal dehiscence, perilymphatic fistulae, fistulae of semicircular canals, VIII nerve vascular compression, chronic vestibular neuronitis, and dizziness following sudden sensorineural hearing loss may require surgical intervention when conservative management has failed. Summary: Surgery for vestibular disorders is less often indicated at present. Office-administered intratympanic gentamicin and steroid treatment have been found to be effective for control of vertigo in Meniere's disease. Side-effects of this treatment are overall acceptable. Surgery may be considered for Meniere's disease patients with good hearing who have failed intratympanic steroid treatment. Surgery is indicated for patients with debilitating dizziness associated with benign paroxysmal positional vertigo, semicircular canal dehiscence, vascular loop compression, and perilymphatic fistulae. (C) 2010 Lippincott Williams & Wilkins, Inc.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am No abstract available Airway assessment by four-phase rhinomanometry in septal surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: This article updates the state of the art in functional ventilation tests of the nasal airway. Multidisciplinary international cooperation has led within the last years to the development of Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: For well over 100 years, it has been appreciated that maxillary dental infections can cause sinusitis. This insight has been largely overlooked with the advent of functional endoscopic sinus Olfactory improvement after endoscopic sinus surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Olfactory dysfunction is a common complaint in patients with chronic rhinosinusitis (CRS). The purpose of this article is to review the current evidence on the impact of endoscopic sinus Role of fungi in pathogenesis of chronic rhinosinusitis: the hypothesis rejected Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Fungi have been suggested to play an important role in the pathogenesis of chronic rhinosinusitis (CRS). This review describes the recent knowledge concerning the role of fungi in the
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