Arenberg I K, Stahle J, Glasscock M E, Shambaugh G E
Laryngoscope. 1979 Jul;89(7 Pt 2 Suppl 17):1-20. doi: 10.1002/lary.5540890701.
A resurgence of interest in surgery on the endolymphatic sac (ELS), not only for relief of vertigo but also for stabilization or improvement of hearing, has emerged. With the concept of operating early in the course of the disease after the diagnosis is well established, various modifications of existing procedures on the ELS have been utilized in an attempt to improve the overall results. One such major modification is the unidirectional inner ear valve implant modified from the eye valve for glaucoma. This valve implant has produced impressive one-year results for both hearing improvements and relief of vertigo in patients who were scheduled for labyrinthectomy. Subsequent preliminary reports by several investigators show good to excellent results for the hearing (AAOO--Class B or A) as well as the vertigo without consideration for the stage of the disease. This study presents primarily the step by step technique with drawings and a color atlas to facilitate the correct performance of this surgery.
对内淋巴囊（ELS）手术的兴趣再度兴起，这不仅是为了缓解眩晕，也是为了稳定或改善听力。随着在疾病进程中诊断明确后尽早进行手术这一概念的出现，人们对现有的ELS手术进行了各种改良，试图提高整体疗效。其中一项主要改良是从用于青光眼的眼阀改良而来的单向内耳阀植入术。对于计划进行迷路切除术的患者，这种瓣膜植入术在改善听力和缓解眩晕方面均取得了令人瞩目的一年期效果。几位研究者随后的初步报告显示，无论疾病处于何种阶段，在听力（美国耳鼻咽喉头颈外科学会分级——B级或A级）以及眩晕方面都取得了良好至优异的效果。本研究主要通过附图和彩色图谱展示逐步操作技术，以利于该手术的正确实施。
