SURGICAL TREATMENT OF VERTIGO
SURGICAL TREATMENT OF VERTIGO
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DOI：
10.1017/s0022215100081779
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发表时间：
1976-01-01
影响因子：
1.7
通讯作者：
FISCH, U
中科院分区：
文献类型：
--
作者：
FISCH, U
1966年，在访问了洛杉矶的威廉豪斯之后，我们开发了一种通过颅中窝切除前庭神经的耳道段的手术方法。这项手术被称为“前庭神经切除术”或“肩胛骨切除术”，旨在缓解外周前庭疾病引起的眩晕症状，同时保留听力。本文报告了1967年至1970年在苏黎世大学耳鼻喉科就诊的90例眩晕患者的5年随访结果，这些患者占耳聋、耳鸣和阵发性眩晕临床三联征的22%。梅尼埃病的诊断是在排除任何已知的病因后，在每个手术的情况下观察到的症状。虽然在50%以上的病例中进行了前庭神经切除术，但我们的讨论将不仅限于这种手术，而是包括所有手术方法所获得的结果。
IN 1966, following a visit to William House in Los Angeles, we developed a surgical approach to excise the meatal segment of the vestibular nerve through the middle cranial fossa. This operation—called'vestibular neurectomy'or'scarpectomy'—was designed to relieve the symptom of vertigo caused by a peripheral vestibular disorder while preserving hearing. In this paper we will report on the 5 year follow-up results obtained by the surgical treatment of vertigo in 90 patients representing 22 per cent of the cases seen at the ENT Department of the University of Zurich with the clinical triad of deafness, tinnitus, and episodic vertigo between 1967 and 1970. The diagnosis of Meniere's disease was made in each operated case after exclusion of any known aetiology for the observed symptoms. Although vestibular neurectomy was performed in more than 50 per cent of the instances, our discussion will not be confined to this operation alone, but include the results obtained by all the surgical procedures used.