Katsarkas A, Segal B N
Department of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Otolaryngol Head Neck Surg. 1988 Jan;98(1):45-7. doi: 10.1177/019459988809800108.
Unilateral surgical ablation of peripheral vestibular function has been suggested for the treatment of a number of diseases that involve vestibular dysfunction. The postoperative distressing symptoms usually subside with time, whereupon the patient is said to have clinically compensated. However, even in well-compensated patients, the initial symptoms may reappear--under certain conditions that are briefly discussed (decompensation)--and, in addition, vestibular gaze stabilization deficits, (apparently permanent) appear whenever moderately rapid head movements are imposed. Thus, surgical ablation of unilateral peripheral vestibular function should not be considered "a treatment of choice," and should be performed in only carefully selected cases.
对于一些涉及前庭功能障碍的疾病，有人建议采用单侧手术切除外周前庭功能进行治疗。术后令人苦恼的症状通常会随时间消退，此时患者被认为已临床代偿。然而，即使是代偿良好的患者，在某些简要讨论的特定条件下（失代偿），初始症状可能会再次出现，此外，只要进行适度快速的头部运动，前庭凝视稳定缺陷（显然是永久性的）就会出现。因此，单侧外周前庭功能的手术切除不应被视为“首选治疗方法”，仅应在经过仔细挑选的病例中进行。
