Pappas J J, Bailey T, Graham S S
Am J Otol. 1979 Oct;1(2):88-93.
Ultrasonic irradiation of the labyrinth through the round window approach is a minimally destructive method of surgical management for Meniere's disease. Results of 48 procedures, followed from six months to eight years, are reported. Relief from vertiginous symptoms was obtained in 70 percent of the patients. Hearing was improved in 14 percent; hearing was also significantly worse in 14 percent. These findings resulted in an overall 56 percent of the patients falling into American Academy of Otolaryngology control classes A or B. No significant postoperative complications were observed. Results are difficult to classify on a cause-and-effect basis due to the remissions and exacerbations characteristic of Meniere's disease. Ultrasonic irradiation using the round window approach does not involve the potential risks of such surgical procedures as labyrinthectomy, vestibular neurectomy, and endolymphatic sac procedures. The primary disadvantage of this procedure is securing and servicing the instrumentation. Due to its conservative nature, ultrasonic irradiation through the round window is an attractive surgical consideration until such time when the pathologic processes in Meniere's disease are better understood.
经圆窗途径对迷路进行超声照射是梅尼埃病手术治疗的一种微创方法。本文报告了48例随访6个月至8年的手术结果。70%的患者眩晕症状得到缓解。14%的患者听力得到改善；14%的患者听力也明显变差。这些结果使得总体上56%的患者达到美国耳鼻咽喉头颈外科学会A或B级控制标准。未观察到明显的术后并发症。由于梅尼埃病具有缓解和加重的特点，因此很难基于因果关系对结果进行分类。经圆窗途径的超声照射不涉及迷路切除术、前庭神经切除术和内淋巴囊手术等外科手术的潜在风险。该手术的主要缺点是设备的固定和维护。由于其保守性，在更好地理解梅尼埃病的病理过程之前，经圆窗超声照射是一种有吸引力的手术选择。
