The Laryngoscope · 1982 · 83 citations · 15 references
MedicineOtolaryngologySurgeryAuditory AnatomyOtolaryngologic SurgeryOtologyCochlear AnatomyCochlear DisordersEar SurgeryHearing LossMeniere DiseaseOtologic SurgeryAudiovestibular SymptomsCochlear SymptomsInner Ear SurgeryMeniere Disease SurgeryRound Window Membrane AnatomyRound Window SurgerySurgical Management Of VertigoSurgical Procedure Description
Abstract A series of 51 patients with intractable vertigo from Meniere's disease were treated by a surgical procedure termed cochleosacculotomy. In this operation a right‐angled pick is introduced through the round window membrane and advanced 3 mm in the direction of the oval window. This passage carries the pick through the cochlear partition causing a fracture‐disruption of the osseous spiral lamina and cochlear duct. Within the time limits of this study (mean 4.32 months) 88% were relieved of disabling vertigo. Hearing losses of more than 20 dB occurred in 23% of the patients. Profound hearing losses occurred in two patients, one of which was associated with postoperative otitis media.
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