Labyrinthectomy and Vestibular Neurectomy for Intractable Vertiginous Symptoms

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Labyrinthectomy and Vestibular Neurectomy for Intractable Vertiginous Symptoms

Introduction Labyrinthectomy and vestibular neurectomy are considered the surgical procedures with the highest possibility of controlling medically untreatable incapacitating vertigo. Ironically, after 100 years of the introduction of both transmastoid labyrinthectomy and vestibular neurectomy, the choice of which procedure to use rests primarily on the evaluation of the hearing and of the surg...

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Selective retromastoid vestibular neurectomy for intractable Ménière's disease: a technical note.

BACKGROUND Retrosigmoid vestibular neurectomy is considered to be the most effective and safe procedure to control intractable vertigo associated with Ménière's disease while preserving hearing. The surgical procedure of retrosigmoid vestibular neurectomy at the cerebellopontine angle has been well established. Here, we provide for otologic surgeons additional details about the procedure, with ...

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Vestibular Neurectomy and Microvascular Decompression

Meniere's disease is typically characterized by the classic symptomatological triad consisting of vertigo associated with nausea and vomiting, fluctuating but progressive hearing loss, and tinnitus. Aural fullness is also a frequent symptom. The main pathophysiological substrate of Meniere's disease is certainly endolymphatic hydrops, the etiology of which is probably multifactorial, but still ...

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Tympanic Plexus Neurectomy for Intractable Otalgia

OBJECTIVE The goal of this study was to analyze whether tympanic plexus neurectomy is a successful surgical option in patients with intractable otalgia. STUDY DESIGN A retrospective single institution study from the experience of two surgeons was conducted. METHODS Records of adult patients with intractable unilateral otalgia of likely glossopharyngeal origin were reviewed, with institution...

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Auditory perception in vestibular neurectomy subjects.

The auditory efferent nerve is a feedback pathway that originates in the brainstem and projects to the inner ear. Although the anatomy and physiology of efferents have been rather thoroughly described, their functional roles in auditory perception are still not clear. Here, we report data in six human subjects who had undergone vestibular neurectomy, during which their efferent nerves were also...

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ژورنال

عنوان ژورنال: International Archives of Otorhinolaryngology

سال: 2017

ISSN: 1809-9777,1809-4864

DOI: 10.1055/s-0037-1599242