Gianoli G J, Duff B, Kartush J M, Bouchard K R
Department of Otolaryngology-Head and Neck Surgery, Tulane University Medical Center, New Orleans, Louisiana 70112, USA.
Am J Otol. 1997 Jan;18(1):74-8.
We have theorized that surgical occlusion of all three semicircular canals (TCO) may be an effective means to treat vestibular pathology limited to semicircular canal dysfunction while preserving hearing and otolithic function.
A procedure that would eliminate vertigo while preserving hearing and minimizing postoperative dysequilibrium would be desirable.
Staged bilateral TCO was performed on four cats and compared to staged bilateral labyrinthectomy in four cats. Balance and gait analysis were performed for 3 weeks after each surgical procedure--a total of 6 weeks of testing.
Balance testing, gait analysis, and righting reflex were found to be better among the cats undergoing TCO compared to labyrinthectomy.
Compared to labyrinthectomy in the cat, TCO appears to have advantages for vestibular compensation after unilateral and contralateral surgery.
我们提出理论,即对所有三个半规管进行手术闭塞(TCO)可能是治疗局限于半规管功能障碍的前庭病变的有效方法,同时保留听力和耳石功能。
一种能够消除眩晕同时保留听力并使术后失衡最小化的手术是可取的。
对四只猫进行分期双侧TCO,并与四只猫的分期双侧迷路切除术进行比较。在每次手术后进行3周的平衡和步态分析——总共6周的测试。
与迷路切除术相比,接受TCO的猫的平衡测试、步态分析和翻正反射更好。
与猫的迷路切除术相比,TCO在单侧和对侧手术后的前庭代偿方面似乎具有优势。