Singular Neurectomy Update
Singular Neurectomy Update
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单一神经切除术更新
DOI：
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发表时间：
1982
期刊：
影响因子：
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通讯作者：
R. Gacek
中科院分区：
文献类型：
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作者：
R. Gacek
一项民意调查的结果显示，在这个国家，有10名外科医生进行了96例单一神经切除术。其中88例(91.7%)良性阵发性位置性眩晕(BPPV)完全缓解。有7名患者(7.3%)因此手术而出现感音神经性听力损失。患者平均住院时间为2~6天，恢复工作时间为1~3周。这些结果表明，单一神经切断术是治疗BPPV的一种有效的选择性前庭消融术，其风险和致残率与其他常规中耳手术相当。该手术不能缓解位置性眩晕的原因是a)BPPV的误诊和b)未能识别中耳的单一神经。了解疾病的病理生理学和单根管位置的解剖变异将减少这些失败的原因。
The results of a poll revealed that 96 singular neurectomies have been performed by ten surgeons in this country. Eighty-eight of these (91.7%) resulted in complete relief of benign paroxysmal positional vertigo (BPPV). In seven patients (7.3%) there was a sensorineural hearing loss as a result of this procedure. The average hospital stay for patients having this procedure ranged from 2–6 days, and the return to work time ranged from 1 to 3 weeks. These results indicate that singular neurectomy is an effective selective vestibular ablation procedure for BPPV and that the risks and disability are comparable to other routine middle ear procedures. The causes for failure of this procedure to relieve positional vertigo are a) misdiagnosis of BPPV and b) failure to recognize the singular nerve in the middle ear. Knowledge of the pathophysiology of the disorder and of the anatomical variation in the location of the singular canal will reduce these causes of failure.