[经迷路后入路行前庭神经切除术治疗难治性梅尼埃病]

[Vestibular neurectomy by retrolabyrinthine approach in cases of untreatable Meniere's disease].

作者信息

Russo A, Taibah A, De Donato G, Aristegui M, Landolfi M, Mancini F, Sanna M

出版信息

Acta Otorhinolaryngol Ital. 1996 Apr;16(2):99-104.

Abstract

We report on a series of 35 Ménière's disease patients, all of whom had undergone retrolabyrinthine vestibular neurectomy between 1987-1993. The overall success rate of vertigo relief was 96.7% with no serious or permanent complications resulting from the procedure. The current literature is reviewed and our results are compared with those of previous reports. The technical elements of the operation, regarding our approach and those of the others are analyzed with special attention given to the anatomical features of the region and their influence on success or failure. We conclude that the retrolabyrinthine approach for nerve section remains a safe and highly successful technique which continues to be widely used.

摘要

我们报告了一组35例梅尼埃病患者，他们均在1987年至1993年间接受了迷路后前庭神经切断术。眩晕缓解的总体成功率为96.7%，该手术未导致严重或永久性并发症。我们回顾了当前的文献，并将我们的结果与之前的报告进行了比较。分析了该手术的技术要点，包括我们的手术方法以及其他方法，并特别关注了该区域的解剖特征及其对手术成败的影响。我们得出结论，迷路后神经切断术仍然是一种安全且成功率很高的技术，目前仍被广泛应用。