Ever since the destructive articles by Toss and coworkers, ESS was considered a taboo. However more and more centres are reviving it and report favourable results in properly selected patients. In this article the authors conducted a retrospective, single-centre observational study to identify preoperative factors that could predict surgical outcomes two years after endolymphatic sac surgery (ESS) in patients with Ménière’s disease. The factors studied included gender, age, operated side, disease duration and comorbidities such as obesity and migraine. They report that 63% of patients achieved a very satisfactory outcome but no preoperative predictive factor could identify this cohort. The article highlights the beneficial effect of ESS on vertigo control, hearing preservation and improvement of the QOL of patients but no distinctive features could be pinpointed to predict good responders.
Endolymphatic sac surgery (ESS) revisited
Reviewed by Badr Eldin Mostafa
Predictive factors for postoperative outcome after endolymphatic sac surgery. Part 1: Clinical and prognostic STROBE report.
CONTRIBUTOR
Badr Eldin Mostafa
Ain-Shams Faculty of Medicine, Almaza , Heliopolis, Egypt.
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