Evidence map›Paper›PMID 40407891›Full record

ReviewEuropean 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 Surgery2025

Surgical treatment of otogenic vertigo.

Tian Yu, Xiaohong Chen

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In one paragraph

Review 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Tian YuUniversity Master Degree Cultivation Base, Zhejiang Chinese Medical University, Zhejiang, 310053, China.
Xiaohong ChenThe Second Hospital of Jiaxing, Zhejiang, 314000, China. 2638828525@qq.com.ORCID http://orcid.org/0000-0003-4822-3556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide a comprehensive review of surgical strategies for vestibular dysfunction-induced vertigo (VDIV), including indications, contraindications, and comparative efficacy analyses of mainstream procedures, and to critically evaluate contemporary controversies and emerging directions based on recent advancements.

backgroundVestibular dysfunction-induced vertigo (VDIV), a balance disorder caused by inner ear pathology, significantly impacts patients' quality of life and often requires surgical intervention when conservative treatments fail. While pharmacological management and vestibular rehabilitation alleviate symptoms in most cases, approximately 10-20% of patients progress to refractory VDIV due to failed conservative treatment, necessitating surgical intervention.

methodsThis article provides a comprehensive review of surgical strategies for VDIV, including indications, contraindications, and comparative efficacy analyses of mainstream procedures (e.g., endolymphatic sac decompression, semicircular canal occlusion, vestibular neurectomy).

resultsCurrent evidence suggests that ESD offers symptom control in 62.1%-80.36% of patients with minimal invasiveness, while transcanal semicircular canal plugging (TSCP) achieves higher success rates (96.7%-100%) at the cost of potential hearing loss. For patients in the advanced stage of the disease, combined surgical procedures (such as ESD+TSCP) can achieve a balance between vertigo control (100%) and hearing preservation (with a hearing loss rate of 33.3%). 

conclusionThe selection of surgical methods should be based on a comprehensive consideration of the patient's specific condition, including the severity of vertigo, hearing level, and overall health status. Future research should focus on exploring more effective and less invasive surgical techniques to improve the prognosis of patients. Additionally, in-depth studies on the long-term outcomes and quality of life of patients after different surgical procedures are necessary to provide more scientific and reliable evidence for clinical decision making.

Indexed as

Otologic Surgical ProceduresVertigoDecompression, SurgicalHumansQuality of LifeSemicircular CanalsHearing preservationMeniere’s diseaseSurgical managementTranscanal semicircular canal plugging (TSCP)Vestibular dysfunction-induced vertigo

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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 OpenQuestion graph.