Monsell E M, Wiet R J, Young N M, Kazan R P
Chicago Otology Group, Ltd., Hinsdale, IL 60521.
Laryngoscope. 1988 Aug;98(8 Pt 1):835-9. doi: 10.1288/00005537-198808000-00009.
Results for control of vertigo and preservation of hearing in patients who have had a retrolabyrinthine vestibular neurectomy (RVN) by our group were analyzed retrospectively. This procedure consists of selective section of the vestibular nerve in the posterior cranial fossa. Vertigo was completely controlled in all but two of 31 patients, one of whom required revision surgery to control attacks. Analysis of these two cases suggests that the cause of persistent vertigo is incomplete neurectomy. With our current surgical technique in patients with Meniere's disease, hearing results were not statistically different from our results with surgery of the endolymphatic sac. Control of vertigo was much more successful with the RVN than endolymphatic sac surgery.
我们团队对接受迷路后前庭神经切除术（RVN）的患者的眩晕控制和听力保留结果进行了回顾性分析。该手术包括在颅后窝选择性切断前庭神经。31例患者中除2例之外，其余患者的眩晕均得到完全控制，其中1例需要再次手术以控制眩晕发作。对这2例病例的分析表明，持续性眩晕的原因是神经切除术不完全。采用我们目前针对梅尼埃病患者的手术技术，听力结果与我们进行内淋巴囊手术的结果相比，在统计学上没有差异。与内淋巴囊手术相比，RVN在眩晕控制方面更为成功。
