Westhofen M, Koch U
Universitäts-Klinik für HNO-Krankheiten, Kopf- und Halschirurgie, Hamburg.
HNO. 1988 Aug;36(8):315-7.
In recent years the benefit of endolymphatic sac surgery has been controversial. Earlier investigations were restricted to the patient's postoperative symptoms, but detailed analysis of postoperative vestibular function was not reported. Nineteen patients who had undergone endolymphatic sac surgery were followed-up for 6 months on up to 16 occasions. Twelve of the 19 patients showed continuous improvement of canal function beginning no earlier than 2 weeks after the operation. No vestibular compensation was observed after simple mastoidectomy. The postoperative symptoms were not proper indicators for successful therapy.
近年来,内淋巴囊手术的益处一直存在争议。早期的研究仅限于患者的术后症状,但未报告对术后前庭功能的详细分析。对19例行内淋巴囊手术的患者进行了随访,随访时间长达6个月,共随访16次。19例患者中有12例术后2周后开始出现半规管功能持续改善。单纯乳突切除术后未观察到前庭代偿。术后症状并非治疗成功的恰当指标。