COCHLEOSACCULOTOMY FOR THE TREATMENT OF MENIERES-DISEASE IN THE ELDERLY PATIENT
COCHLEOSACCULOTOMY FOR THE TREATMENT OF MENIERES-DISEASE IN THE ELDERLY PATIENT
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DOI：
10.1288/00005537-199509000-00012
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发表时间：
1995-09-01
期刊：
影响因子：
2.6
通讯作者：
KINNEY, SE
中科院分区：
文献类型：
--
作者：
KINNEY, WC;NALEPA, N;KINNEY, SE
耳蜗切开术是治疗老年梅尼埃病患者失能性眩晕的一种手术选择。9例患者（平均年龄：73岁）接受了该手术，以控制眩晕和/或跌落发作。平均随访时间为29个月。9名患者中有8名眩晕得到了控制，但除1名患者外，其余患者的听力都出现了恶化。术后没有患者出现短暂性眩晕加重。老年患者复发性眩晕和严重的非波动性感音神经性听力损失应考虑行耳蜗切除术，否则可能需要行迷路切除术。
Cochleosacculotomy is a surgical option for the treatment of incapacitating vertigo in elderly patients with Meniere's disease. This procedure was performed in nine patients (mean age: 73 years) for control of vertigo and/or drop attacks. The average follow-up period was 29 months. Vertigo was controlled in eight of nine patients, but hearing worsened in all but one patient. No patient developed a transient increase in vertigo in the postoperative period. Cochleosacculotomy should be considered in elderly patients with recurrent vertigo and severe non-fluctuating sensorineural hearing loss who would otherwise be candidates for labyrinthectomy.