ESIC Nursing Officer-…: Which one of the following is NOT surgical therapy in case of Meniere's disease?

ESIC Nursing Officer-7July 2024

Medical Surgical Nursing

Medium

Appeared in: ESIC Nursing Officer-7July 2024

Explanation

Stapedotomy is the correct answer because it is not a treatment for Meniere's disease.
This procedure is performed for otosclerosis, a condition of the middle ear that causes conductive hearing loss by fixing the stapes bone.
Meniere's disease is a disorder of the inner ear involving fluid imbalance (endolymphatic hydrops), and its surgical treatments target the inner ear or vestibular nerve to control vertigo.

Option B: This is incorrect because Labyrinthectomy is a valid, albeit destructive, surgical option for Meniere's disease.
Option C: This is incorrect because an Endolymphatic shunt is a recognized surgical procedure for Meniere's disease.
Option D: This is incorrect because a Vestibular nerve section is a highly effective surgical treatment for the vertigo associated with Meniere's disease.

Visual 1: Diagram - An illustration of the human ear, clearly labeling the outer, middle, and inner ear. Highlight the stapes in the middle ear and the labyrinth/endolymphatic sac in the inner ear to differentiate the sites of Stapedotomy and Meniere's disease surgeries.
Visual 2: Table - A comparative table summarizing the surgical options for Meniere's disease (Labyrinthectomy, Endolymphatic Shunt, Vestibular Nerve Section) detailing their goals, success rates for vertigo, and impact on hearing.

Clinical Relevance

Nursing practice connection: Knowing Surgical Management of Meniere's Disease helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Post-operative nursing care for a patient undergoing vestibular surgery (like labyrinthectomy or nerve section) is critical for safety.
Key interventions include implementing strict fall precautions, assisting with ambulation, administering antiemetics for nausea, and teaching the patient to make slow, deliberate head movements to minimize vertigo.
What if? If a patient with Meniere's disease has useful hearing in the affected ear, a destructive procedure like labyrinthectomy would be contraindicated. A hearing-preserving option like an endolymphatic shunt or vestibular nerve section would be the preferred surgical approach.

How to Approach the Question

First, identify the core subject of the question, which is 'surgical therapy for Meniere's disease'.
Note the negative keyword 'NOT'. This means you are looking for the option that does NOT belong in the group of treatments for Meniere's disease.
Evaluate each option. Recall or determine the primary indication for each surgical procedure.
Labyrinthectomy, Endolymphatic shunt, and Vestibular nerve section are all procedures related to the inner ear to control vertigo.
Stapedotomy is a procedure on a middle ear bone (stapes) to improve hearing loss from otosclerosis.
Identify Stapedotomy as the outlier, as it treats a different condition in a different part of the ear. This makes it the correct answer for the 'NOT' question.

Concept Tested & Keywords

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