About Endolymphatic Sac Decompression Surgery
Key Highlights
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Aims to control severe, recurrent vertigo attacks associated with Meniere's disease.Focuses on preserving existing hearing and inner ear function where possible.Considered a 'hearing-preserving' procedure compared to more ablative options like vestibular nerve section.Can significantly improve quality of life by reducing the frequency and severity of debilitating symptoms.Involves a mastoidectomy approach, which is a standard and well-established surgical technique in otology.
Who is this surgery for?
- Diagnosis of definite or probable Meniere's disease, as per established clinical criteria.
- Failure of adequate symptom control after a trial of conservative medical management (e.g., diuretics, low-sodium diet, betahistine).
- Disabling, recurrent episodes of vertigo that significantly impact daily activities and quality of life.
- Serviceable hearing in the affected ear that the surgeon aims to preserve.
- Patient's desire for an intervention that addresses the underlying fluid pressure issue without immediately destroying vestibular or auditory function.
How to prepare
- Comprehensive audiological evaluation (audiogram) to establish baseline hearing levels.
- Vestibular function tests, such as videonystagmography (VNG), to assess balance system.
- Pre-operative imaging, typically a high-resolution CT scan of the temporal bone, to visualize anatomy.
- Complete medical evaluation, including blood tests and possibly cardiac clearance, to ensure fitness for general anesthesia.
- Detailed discussion with the ENT surgeon about the procedure's goals, alternatives, risks, and realistic expectations.
- Discontinuation of certain medications (e.g., blood thinners like aspirin or warfarin) as advised by the surgical and medical team.
- Fasting as instructed prior to surgery, typically from midnight the night before.
Risks & possible complications
- Standard surgical risks: Reaction to anesthesia, bleeding, infection, or scarring.
- Hearing loss: There is a risk of further sensorineural hearing loss in the operated ear, ranging from mild to profound.
- Persistent vertigo or imbalance: The surgery may not fully control vertigo symptoms in all patients.
- Tinnitus: Existing tinnitus may persist, worsen, or, rarely, new tinnitus may develop.
- Facial nerve injury: Rare risk of temporary or permanent weakness of the facial muscles on the operated side due to the nerve's proximity.
- Cerebrospinal fluid (CSF) leak: Rare complication where fluid surrounding the brain leaks, potentially requiring further treatment.
- Taste disturbance: Due to manipulation near the chorda tympani nerve, leading to altered or metallic taste, often temporary.
Recovery & hospital stay
- Hospital Stay: Typically 1-3 days for monitoring, pain management, and initial mobilization.
- Initial Home Care: Keep the ear dry and protected; avoid blowing nose forcefully. A head bandage is usually worn for 1-2 days.
- Activity: Avoid strenuous activity, heavy lifting, and bending over for 2-4 weeks. Gradual return to normal activities is advised.
- Follow-up: Stitches or staples are removed 1-2 weeks post-op. Regular follow-up visits are scheduled for wound checks and audiological assessment.
- Symptom Monitoring: Vertigo may improve gradually. Some dizziness and imbalance are common for several weeks during healing and vestibular compensation.
- Medications: Prescribed antibiotics (to prevent infection) and pain relievers. Anti-vertigo medications may be continued as needed.
- Long-term: Final assessment of vertigo control and hearing status may take several months. Continued adherence to a low-sodium diet is often recommended.
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Typical hospital stay: 2-3 days
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Expected recovery time: 4-6 weeks for initial recovery; 3-6 months for full stabilization of symptoms
Frequently Asked Questions
If you are considering endolymphatic sac decompression surgery in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endolymphatic sac decompression surgery in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endolymphatic sac decompression surgery. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endolymphatic sac decompression surgery compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 350 Thousand | 2-3 days | ~ 4-6 weeks for initial recovery; 3-6 months for full stabilization of symptoms | Know More |
| Turkey | TRY 525 Thousand – 1.23 Million | 2-3 days | ~ 4-6 weeks for initial recovery; 3-6 months for full stabilization of symptoms | Know More |
Top hospitals for Endolymphatic Sac Decompression Surgery in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing endolymphatic sac decompression surgery.
Myra Bhatia is a 42-year-old graphic...
Myra Bhatia is a 42-year-old graphic designer and mother of two. She has always been active, but over the past three years, her life has been dominated by unpredictable and violent attacks of vertigo. The world would suddenly spin violently, accompanied by roaring tinnitus, a feeling of fullness in her right ear, and significant hearing loss in that ear. She was diagnosed with Ménière's disease. Medications like diuretics and a strict low-sodium diet provided only fleeting relief. The attacks became more frequent, causing her to miss work and family events, and she lived in constant anxiety of the next episode. Her ENT surgeon, Dr. Evans, recommended Endolymphatic Sac Decompression Surgery after conservative measures failed, explaining it as a way to stabilize the inner ear pressure and potentially reduce the severity and frequency of her attacks. Myra was terrified of surgery near her ear and brain but was more afraid of her deteriorating quality of life. The surgery itself went smoothly. The recovery involved a few days of dizziness and bandages, but the violent spinning spells were gone. In the months that followed, the debilitating vertigo attacks ceased. While the hearing loss and tinnitus in her right ear remained, they were stable and manageable. The emotional relief was profound. She described it as "getting her life back from a hostage situation." The constant background fear lifted, allowing her to plan outings, return to work consistently, and be fully present for her children without the dread of an imminent attack.
ENT Specialists for Endolymphatic Sac Decompression Surgery
Explore experienced ent specialists who regularly perform endolymphatic sac decompression surgery and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
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Manipal Hospital Yeshwanthpur, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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- 26 Years Experience
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Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
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Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
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Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
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Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
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Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
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Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
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Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
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Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore