Editing Ménière's disease (section)

==== Endolymphatic sac surgery ====
Surgery to decompress the [[endolymphatic sac]] is one surgical approach that is sometimes suggested. Three methods of surgical endolymphatic sac decompression are sometimes suggested – simple decompression, insertion of a shunt, or removal of the sac.<ref name="Lim" /> There is some very weak evidence that all three methods may be useful for reducing dizziness, but that the level of evidence supporting these surgical procedures is low with further higher quality investigations being suggested.<ref name="Lim">{{Cite journal|display-authors= 3| last1=Lim|first1=Ming Yann|last2=Zhang|first2=Margaret|last3=Yuen|first3=Heng Wai|last4=Leong|first4=Jern-Lin|date=November 2015|title=Current evidence for endolymphatic sac surgery in the treatment of Meniere's disease: a systematic review|journal= [[Singapore Medical Journal]] |volume=56|issue=11|pages=593–598 |doi= 10.11622/smedj.2015166| issn= 0037-5675 |pmc= 4656865 |pmid= 26668402}}</ref> There is a risk in these types of surgical procedures that the shunts used in these surgeries are at risk of becoming displaced or misplaced.<ref name="Foster2015rev" /> For those with severe cases who are eligible for endolymphatic sac decompression, a 2014 systematic review reported that in at least 75% of people, EL sac decompression was effective at controlling vertigo in the short term (>1 year of follow-up) and long term (>24 months).<ref name="PMID24751747">{{Cite journal|last1=Sood|first1=Amit Justin |last2= Lambert |first2= Paul R. |last3=Nguyen|first3=Shaun A.|last4=Meyer|first4=Ted A. |display-authors= 3| date=July 2014|title=Endolymphatic sac surgery for Ménière's disease: a systematic review and meta-analysis |journal= [[Otology & Neurotology]] |volume=35|issue=6|pages=1033–1045|doi=10.1097/MAO.0000000000000324|issn=1537-4505|pmid=24751747|s2cid=31381271}}</ref>