Endolymphatic sac surgery for Meniere's Disease

Meniere's Disease and its pathologic correlate endolymphatic hydrops develop from endolymphatic malabsorption secondary to genetically determined and environmentally influenced factors. Medical therapy is effective in most cases. When insufficient, endolymphatic sac enhancement is a logical extension of conservative treatment, as it is organ sparing and hearing conserving therapy resulting in excellent symptomatic control with a low rate of complications. The senior author׳s technique for endolymphatic sac enhancement is presented incorporating experience from over 4,000 such procedures.