METHOD FOR SELECTING A METHOD OF SURGICAL MANAGEMENT OF PATIENTS WITH MENIERE'S DISEASE Russian patent published in 2021 - IPC A61B5/55 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, particularly to otorhinolaryngology. Pre-door and cochlear Endolymphatic Hydrops degree is determined by MRI of temporal bones with contrast enhancement. Conclusion on absence of a cochlear hydrops is made in case of absence of Reissner membrane displacement. Conclusion on a moderate cochlear hydrops is made if the Ressnair membrane is shifted and the area of the cochlear duct does not exceed the area of the vestibule. Conclusion on the expressed cochlear hydrops is made if the area of the cochlear duct exceeds the area of the stairway of the vestibule. Conclusion on absence of vestibule hydro-force is made in case if ratio of area of endolymph of vestibule to area of perilymph vestibule makes 33.3% and less. Conclusion on moderate vestibule hydropis is made in case if ratio of endolymph area of vestibule to area of perilympha vestibule >33.3% and ≤50%. Conclusion on the pronounced pre-door hydrops is made in case the ratio of the area of the endolymph of the vestibule to the perilymph area of the vestibule >50% and / or in presence of a contrast defect of at least one semicircular channel. If observing a pronounced vestibule endolymphatic gypsy as a surgical method of selecting selective vestibular neurectomy. In moderate vestibule hydrops and / or mild or apparent cochlear hydrops, endolymphatic drainage is drained.

EFFECT: method enables relieving dizziness attacks, stabilizing hearing by determining the optimal type of surgical intervention depending on the degree of endolymphatic gidrosa.

1 cl, 2 ex