Silverstein H
Otolaryngology. 1978 Jan-Feb;86(1):ORL-47-60. doi: 10.1177/019459987808600111.
Partial vestibular (singular) neurectomy under general anesthesia through a postauricular approach is an effective method of relieving incapacitating benign positional vertigo, as is the case in 14 of 16 patients (87%) so treated. Middle fossa vestibular neurectomy appears to be a worthwhile procedure to deinnervate the peripheral vestibular system while preserving hearing. The results of 27 middle fossa vestibular neurectomies indicate relief of vertigo in 85% of the patients. The results of treatment on 44 patients undergoing transmeatal-cochleovestibular neurectomy indicated that vertigo was relieved in 19 of 23 (82%) with Meniere's disease and improved in 50% of the patients with post-stapedectomy vertigo and sensorineural hearing loss. Tinnitus was cured or markedly improved in 80% of the patients with Meniere's disease and 70% of the patients with post-stapedectomy sensorineural hearing loss and tinnitus. The transmeatal-transcochlear approach to the internal auditory canal offers advantages over the transmeatal labyrinthectomy or translabyrinthine approach to the internal auditory canal.
在全身麻醉下通过耳后入路进行部分前庭（单数）神经切除术是缓解使人丧失能力的良性位置性眩晕的有效方法，16例接受该治疗的患者中有14例（87%）情况如此。中颅窝前庭神经切除术似乎是一种在保留听力的同时使外周前庭系统去神经支配的有价值的手术。27例中颅窝前庭神经切除术的结果表明85%的患者眩晕得到缓解。44例接受经耳道 - 耳蜗前庭神经切除术患者的治疗结果显示，23例梅尼埃病患者中有19例（82%）眩晕得到缓解，镫骨切除术后眩晕和感音神经性听力损失患者中有50%病情改善。梅尼埃病患者中80%以及镫骨切除术后感音神经性听力损失伴耳鸣患者中70%的耳鸣得到治愈或明显改善。经耳道 - 经耳蜗入路至内耳道比经耳道迷路切除术或经迷路入路至内耳道具有优势。
