Silverstein H, Norrell H
Ear Research Foundation of Florida, Sarasota 33579, USA.
Otolaryngol Head Neck Surg. 1982 Nov-Dec;90(6):778-82. doi: 10.1177/019459988209000618.
Vestibular neurectomy performed through the middle fossa or retrolabyrinthine approach is an effective method of denervating the labyrinth while preserving residual hearing. In the authors' opinion, the retrolabyrinthine approach is easier to perform, takes less time, and places the facial nerve in less jeopardy than the middle fossa procedure. The results of 26 cases of retrolabyrinthine vestibular neurectomy followed from six to 26 months indicate an 85% (22/26) cure rate of vertigo and a 79% (21/26) rate of hearing unchanged or improved.
经中颅窝或迷路后入路进行的前庭神经切除术是一种在保留残余听力的同时使迷路去神经化的有效方法。在作者看来,迷路后入路比中颅窝手术更容易操作,耗时更短,且使面神经面临的风险更小。对26例接受迷路后前庭神经切除术的患者进行了6至26个月的随访,结果显示眩晕治愈率为85%(22/26),听力无变化或改善率为79%(21/26)。