Hi I waw hoping to find a lot of discussions here about this procedure but there's nothing. Looking around I've stumbled upon some people recommending the new procedure developer by doctor Salvinelli in Italy. He says he's studied in Los Angeles but there they did the normal procedure, which targets the sack where your liquid is supposed to go. He said that this procedure didn't give great results, so he has developed a new one in which, in addition to targeting the sack, you also depressure the doct that brings the liquid to the sack. Sorry for improper terms but it's 2 am and I don't wanna look up these medical words. I just wanted to share this new thing I've found. He claims to have done this procedure for hundreds of people and that in 96% of the time the vertigo has completely gone. For the remaining 4% he does another additional follow up surgery in which he cuts off the equilibrium nerve. But for the 96% you can keep your hearing and the vertigo goes away. It's not super clear if the tinnitus goes away too but he says that it improves as well. I don't understand how come he's not teaching this technique to thousands of other doctors if it is so effective but he has a lot of testimonials on his Instagram page. I attach here two videos, use the automatic translation. If you need some clarification about what the videos say ask me here and I'll reply.
Guys sorry to appear arrogant but I don't think you've given this discussion the proper attention. I understand the content it's in another language but make a little effort. Basically this doctor is saying that the typical surgery to treat meniere is the endolymphatic sac decompression surgery, which aims to improve the drainage of the accumulated endolymph. Basically they drain the liquid from the sac, shown in the pic as the number 1. He thought that maybe that's not sufficient because the duct, the canal that transmit the endolymph, the liquid, to that sac is compressed in itself, and that's where the real problem is. Therefore he made a variation of the surgery in which he fixes the point 2 in the image by smashing the bones that press the canal and reconstructing them in order to allow the canal to be free and on top of that he drains the sac (1) too. He says 96% of his patients get completely rid of the vertigo and most of them see improvements even with tinnitus (although I'd like to find out more information about the tinnitus because he doesn't expand much on it). If what he says is true than it's extremely important and I don't understand why nobody pays attention, why he doesn't teach this technique to thousands of other surgeons around the world. Please give me your opinions and spread this to your doctors. SEE THE ATTACHMENT
I think we're a bit confused what you're pioneering as "new" here, as this has been preformed for more than 80 years [1].
Hi, thanks for the reply, let's get this discussion going. The article you quoted is indeed by that doctor, Salvinelli, and despite being an old technique as you rightly say, it says that it was a neglected one and that he refined it. More importantly, it says that it's way better in terms of results, because it completely fixed the vertigo for 87% of people and is also better for the fullness of the ear (and thus the tinnitus too). And it makes total sense, if the duct that brings the endolymph to the sac is compressed for whatever reason, making room for it by removing a bit of skeleton will ease the circulation of it. Here I asked AI to list out the differences between the common technique which involves the sac or the shunt versus this new DASD technique and the difference is night and day. Plus this article is from 2023 and involves less than 60 people. In the video I posted, Salvinelli says he's performed the surgery on hundreds of patients and the success rate is above 95%. Then the question is mandatory, why on Earth isn't he teaching his technique to thousands of surgeons around the world? Why isn't everyone adopting this method? Why no one even knows about it and we still lose time with vitamins and diuretics? I had a week of strong vertigo a few months ago, since then just constant tinnitus which seems to be diminishing now after 5 months, hopefully. But if things worsen once again I will definitely send him a message to book an appointment. I would really like this topic to be well known in the meniere community, so that it becomes wide spread. It's ridiculous that apparently it's only one man who does this thing. If it is so indeed, it's completely absurd. Tell me your thoughts guys. Only the people who have experienced Meniere can understand. Thanks and sorry for the long post, but I think this is really important.
I am most interested in getting DASD surgery done with Dr. Salvinelli in Rome. Has anyone in this membership had this done?
you will get more interest in this if you post it on a Facebook Menieres forum, this site has been out to lunch most of the time
Interesting! DASD looks to be well worth researching. I will be looking into this. Confused by some of the comments here, as he is not talking about endolymphatic sac decompression. In fact, he stated that this is not sufficient and there seems to be a lot more to this technique.
Any new treatment option is always welcome, especially if those options are as conservative as possible. My biggest fear has always been having to choose between destructive surgery or living with constant vertigo, because the first option means that any future curative advances would no longer be effective for me.
Dr. Salvinelli recently died. Does anyone have info of US doctors who do his procedure? Does the House Clinic in LA do it?