Smyth G D, Kerr A G, Gordon D S
J Laryngol Otol. 1976 Sep;90(9):823-31. doi: 10.1017/s0022215100082773.
In summary: (i) the fact that VNS spares auditory function makes it preferable to labyrinthectomy. A comparison of VNS and the "conservative" operations on the inner ear shown that they have much the same effect on hearing. VNS by controlling vertigo may also provide an additional benefit by eliminating one of the stress factors concerned in the perpetuation of hydrops; (2) in the treatment of vertigo, VNS is now the most effective method of treatment. Because of elimination of vertigo is what chiefly concerns most of our patients, we suggest that when medical treatment fails to control vertigo, VNS is the surgical method of choice.
(i)迷走神经刺激术保留听觉功能这一事实使其比迷路切除术更具优势。迷走神经刺激术与内耳“保守”手术的比较表明,它们对听力的影响大致相同。迷走神经刺激术通过控制眩晕,还可能通过消除与积水持续存在相关的压力因素之一而带来额外益处;(2)在眩晕治疗中,迷走神经刺激术是目前最有效的治疗方法。由于消除眩晕是大多数患者最主要关心的问题,我们建议当药物治疗无法控制眩晕时,迷走神经刺激术是首选的手术方法。