Evidence map›Paper›PMID 40836161›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Long-term vestibular and audiometric results in meniere's patients following endolymphatic duct blockage, sac drainage or sac decompression.

Yihua Jiang, Yuqian Zeng, Qin Wang, Junjiao Hu, Wei Li, Tao Yang, Kai Deng, Zhou Zhou, Changaiz Farah, Anquan Peng and 1 more

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yihua JiangDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Yuqian ZengDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Qin WangDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Junjiao HuDepartment of Radiology, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Wei LiDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Tao YangDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Kai DengDepartment of Radiology, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Zhou ZhouDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Changaiz FarahDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Anquan PengDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China.
Zhiwen ZhangDepartment of Otolaryngology-Head and Neck Surgery, The Second Xiangya Hospital, Ear Institute of Central South University, Central South University, Changsha, 410011, Hunan, China. zhangzhiwen@csu.edu.cn.ORCID http://orcid.org/0000-0001-5060-5583

Funding

National Natural Science Foundation of China 82301326
6 · The paper itself

Abstract

purposeTo explore the long-term vestibular and audiometric results of the patients with Meniere's disease (MD) who underwent endolymphatic duct blockage (EDB), endolymphatic sac drainage (EDD) and endolymphatic sac decompression (ESD).

methodsA total of 51 MD patients receiving EDB (n = 24), EDD (n = 15) and ESD (n = 12) were enrolled for evaluation of their vertigo control, hearing threshold, caloric test, and video head impulse test (vHIT) results with 4-year follow-up.

resultsThe recurrence rate of vertigo attacks ratio was significantly higher in ESD compared to the EDB (P = 0.012) and EDD (P = 0.037) groups. Both EDB and EDD showed a significantly lower vertigo recurrence rate (VRR) than ESD (P = 0.040 and P = 0.047, respectively) from 0 to 24 months; yet EDB showed a significantly lower VRR than EDD (P = 0.044) and ESD (P = 0.010) in 25 to 48 months postoperatively. Compared with preoperative measurements, the postoperative average hearing thresholds and mean caloric canal paresis value tended to decrease in EDB but increase in ESD with no statistically significant difference, while hearing and caloric canal paresis value increased significantly in EDD (p = 0.001). A comparison of preoperative and postoperative prevalence of abnormal vHIT test showed no significant differences in EDB and ESD, but a significant difference in EDD (p = 0.017).

conclusionBoth EDB and EDD were more effective than ESD in controlling vertigo spells. In contrast to the relatively poor preservation of hearing and vestibular function in ESD, EDB could better preserve hearing and vestibular function, while in patients who underwent EDD, both hearing and vestibular impairments could be detected in long-term follow-up. LEVEL OF EVIDENCE: 4:

Indexed as

Decompression, SurgicalDrainageEndolymphatic DuctEndolymphatic SacMeniere DiseaseAdultAgedAudiometryCaloric TestsFemaleFollow-Up StudiesHumansMaleMiddle AgedRecurrenceRetrospective StudiesEndolymphatic duct blockageHearing and vestibular functionMénière’s diseaseSac decompressionSac drainageSymptoms

Identifiers

PMID40836161

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.