Tomoda K, Kubo N, Hosoda Y, Komeda M, Cho H, Shiraishi S, Yamashita T
Department of Otorhinolaryngology, Kansai Medical University, Osaka, Japan.
Acta Otolaryngol Suppl. 1995;519:230-3. doi: 10.3109/00016489509121912.
The infralabyrinthine approach to vestibular neurectomy was performed in 9 patients with unilateral Menière's disease. According to the AAOO (1972) criteria, 7 of 9 cases were graded as class B and the remaining 2 cases as class C. Otherwise, according to the AAO-HNS (1985) criteria, 6 patients who could be followed over 2 years were all graded as 'complete' at the vertigo control. The compensation of the spontaneous vestibular signs was rapid in the first 2 postoperative weeks, though an occasional imbalance on movement persisted even 3 years after the operation. No specific caloric reaction was elicited in any patient after warm or cold water irrigation of the operated side in any postoperative period. There have been no serious complications except a delayed facial palsy that appeared in one case one week after surgery. This approach offers access to the vestibular nerve with minimal risk and morbidity.
对9例单侧梅尼埃病患者采用迷路下前庭神经切断术。根据美国耳鼻喉科学会（1972年）标准，9例中有7例为B级，其余2例为C级。另外，根据美国耳鼻咽喉头颈外科学会（1985年）标准，6例随访超过2年的患者在眩晕控制方面均被评为“完全”。术后前2周自发前庭体征的代偿迅速，尽管术后3年偶尔仍存在运动时的不平衡。术后任何时期，对手术侧进行冷水或温水冲洗，均未在任何患者中引出特定的冷热反应。除1例术后1周出现迟发性面瘫外，无严重并发症。该入路能以最小的风险和发病率暴露前庭神经。
