Surgical results and psychological status in XXXX with intractable M  ni  re's disease.

@entity1 @entity11167 @entity308 @entity558 @entity146 @entity1109 @entity230 @entity393
OBJECTIVES: @entity146 is often one of the causes to make treatments for M  ni  re's disease more difficult. The aim in the present study is to examine ratios of the @entity11167 and @entity308 in @entity1 with intractable M  ni  re's disease and also relationships between the ratios and surgical results after endolymphatic sac drainage with large doses of @entity230 . METHODS: Between 1998 and 2009, we enrolled 263 intractable M  ni  re's @entity1 and divided into two groups, 207 in surgical group and 56 in non-surgical group. We used the Cornell Medical Index (CMI) and the @entity308 ( @entity308 ) at the diagnosis in our hospital to evaluate their @entity558 before treatments. CMI domains III and IV were defined as @entity11167 and @entity308 scores more than 40 as @entity308 as a matter of convenience. Two years as well as seven years after surgery, @entity1 with vertigo zero/month and hearing change>-10dB were evaluated in success group and the others in non-success group. RESULTS: @entity11167 and @entity308 were diagnosed in approximately 40% and 60%, respectively, of intractable M  ni  re's disease. Our results showed that surgical treatment significantly improved vertigo suppression and @entity393 in @entity1 with no @entity1109 compared with those exhibiting @entity1109 both in surgical and non-surgical groups. Furthermore, surgical results in cases with @entity146 were superior to non-surgical results in cases without mental distress. CONCLUSIONS: All taken together, psychological supports could be necessary for improving results both in the surgical and non-surgical treatments for @entity1 with intractable M  ni  re's disease. Some cases with intractable M  ni  re's disease should really require additional surgical treatments even after psychological therapies.
