Morrison A W
Otolaryngol Clin North Am. 1983 Feb;16(1):143-51.
In a neuro-otological practice, many patients are seen with bilateral Meniere's disease. Some of these poor prognostic cases start in childhood or adolescence. Of all the conservative operations, endolymphatic sac surgery alone should be considered for the only or better hearing ear. The risk of surgical anacusis is less than 2 per cent, a risk outweighed by the significant short and long term benefit for these difficult patients. Including patients who undergo revision surgery, control of vertigo is very acceptable, and hearing gain, especially in only hearing ears, is often essential for rehabilitation. The best results probably are obtained when surgery is performed early in the course of the disease.
在神经耳科学实践中，许多双侧梅尼埃病患者前来就诊。其中一些预后不良的病例始于儿童期或青少年期。在所有保守手术中，对于仅存的听力耳或听力较好的耳朵，应仅考虑行内淋巴囊手术。手术导致全聋的风险低于2%，对于这些病情复杂的患者而言，这一风险被显著的短期和长期益处所抵消。包括接受翻修手术的患者在内，眩晕的控制效果非常理想，而听力改善，尤其是对于仅存的听力耳，往往对康复至关重要。如果在疾病早期进行手术，可能会取得最佳效果。
