Posterior Fossa Vestibular Nerve Section with Simultaneous Decompression of the Endolymphatic Sac: A Preliminary Report

2015 ◽  
pp. 960-961
Author(s):  
Afaged El Shennawy
1991 ◽  
Vol 105 (12) ◽  
pp. 1002-1003 ◽  
Author(s):  
D. A. Moffat ◽  
J. G. Toner ◽  
D. M. Baguley ◽  
D. G. Hardy

AbstractMany procedures have been devised to deal with intractable vertigo and conserve hearing, but despite this selective vestibular nerve section remains by far the most effective treatment.A series of 14 patients who underwent posterior fossa vestibular neurectomy is reported. The results are reported for vertigo control, hearing and tinnitus. All of the patients achieved vertigo control according to the AAOO (1972) reporting system. A simple and reliable system for the classification of the disability in these patients has yet to be devised. This problem is addressed and a disability grading system proposed, and discussed.


Skull Base ◽  
2005 ◽  
Vol 15 (04) ◽  
pp. 292-292
Author(s):  
Nebil Goksu ◽  
Metin Yilmaz ◽  
Ismet Bayramoglu ◽  
Yildirim A Bayazit

Skull Base ◽  
2005 ◽  
Vol 15 (04) ◽  
pp. 292-292
Author(s):  
Nebil Goksu ◽  
Metin Yilmaz ◽  
Ismet Bayramoglu ◽  
Yildirim A Bayazit

2015 ◽  
Vol 129 (12) ◽  
pp. 1182-1187 ◽  
Author(s):  
U Patnaik ◽  
A Srivastava ◽  
K Sikka ◽  
A Thakar

AbstractObjective:To present the profile of patients undergoing surgical treatment for vertigo at a contemporary institutional vertigo clinic.Study design:A retrospective analysis of clinical charts.Methods:The charts of 1060 patients, referred to an institutional vertigo clinic from January 2003 to December 2012, were studied. The clinical profile and long-term outcomes of patients who underwent surgery were analysed.Results:Of 1060 patients, 12 (1.13 per cent) were managed surgically. Of these, disease-modifying surgical procedures included perilymphatic fistula repair (n = 7) and microvascular decompression of the vestibular nerve (n = 1). Labyrinth destructive procedures included transmastoid labyrinthectomy (n = 2) and labyrinthectomy with vestibular nerve section (n = 1). One patient with vestibular schwannoma underwent both a disease-modifying and destructive procedure (translabyrinthine excision). All patients achieved excellent vertigo control, classified as per the American Academy of Otolaryngology – Head and Neck Surgery 1995 criteria.Conclusion:With the advent of intratympanic treatments, surgical treatments for vertigo have become further limited. However, surgery with directed intent, in select patients, can give excellent results.


1997 ◽  
Vol 76 (9) ◽  
pp. 652-663 ◽  
Author(s):  
Gerald B. Brookes

The role of vestibular nerve section (VNS) surgery in the management of Meniere's disease is considered by prospective analysis of a large series of 531 patients treated by the author over a period of 11 years. Twenty-seven percent were referred by their primary care physicians, while the rest were secondary (45.6%) or tertiary (27.3%) referrals. Overall, 62 (11.7%) Meniere's patients underwent 63 VNS procedures. This surgery was undertaken more frequently in the secondary and tertiary referral patients (14.2%) than in the primary referrals (5.5%). The retrolabyrinthine technique was the preferred approach in almost 90% of ears. The results and complications of these and other surgical options are discussed in an attempt to define the present role of VNS in intractable Meniere's disease. Vertigo was abolished after VNS in 93% of cases. Compensation was significantly impaired in 12.9%. All these patients had contralateral Meniere's disease or marked labyrinthine hypofunction. Although highly effective and associated with few postoperative complications, VNS is generally reserved for sac failures, though may be appropriate as a primary procedure in severe unilateral cases.


2007 ◽  
Vol 118 (7) ◽  
pp. 1488-1493 ◽  
Author(s):  
Masahito Tsubota ◽  
Hideo Shojaku ◽  
Etsuro Hori ◽  
Michiro Fujisaka ◽  
Nakamasa Hayashi ◽  
...  

1998 ◽  
Vol 118 (3) ◽  
pp. 331-340 ◽  
Author(s):  
K. F. Hamann ◽  
A. Reber ◽  
B. J. M. Hess ◽  
N. Dieringer

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