Arenberg I K, Balkany T J
Laryngoscope. 1982 Nov;92(11):1279-84. doi: 10.1288/00005537-198211000-00011.
Endolymphatic system surgery for Meniere's disease has been shown to be effective in selected cases; however, some patients do not achieve substantial long-term relief from their symptoms in spite of early success and may require revision surgery. Revision endolymphatic system surgery has been reported in the literature in 9.7% to 16.3% of patients. As part of an ongoing prospective analysis of endolymphatic valve implant surgery, the first 400 procedures performed over 6 years were analyzed to determine the rate and cause for revision surgery. Fifty-four of 386 (13.9%) of endolymphatic valve implants performed by the authors required revision. Fourteen cases initially operated on elsewhere are also analyzed. The most frequent causes of failure was outflow tract obstruction caused by temporalis fascia, previously used to anchor the valve. Since that technique has been abandoned, the revision rate of primary valve implants is 6.7%.
内淋巴系统手术治疗梅尼埃病在部分病例中已被证明是有效的；然而，尽管早期手术成功，但一些患者的症状并未得到实质性的长期缓解，可能需要进行翻修手术。文献报道，翻修内淋巴系统手术的患者比例为9.7%至16.3%。作为正在进行的内淋巴瓣膜植入手术前瞻性分析的一部分，对6年内进行的前400例手术进行了分析，以确定翻修手术的发生率及原因。作者实施的386例内淋巴瓣膜植入手术中有54例（13.9%）需要翻修。还分析了最初在其他地方接受手术的14例病例。最常见的失败原因是曾用于固定瓣膜的颞肌筋膜导致流出道梗阻。自从放弃该技术以来，初次瓣膜植入的翻修率为6.7%。
