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Vestibular neurectomy: A histological and clinical study of results

Published online by Cambridge University Press:  29 June 2007

Ken Kitamura ,
Mamoru Miyata ,
Hayes H. Wanamaker ,
Herbert Silverstein  and
Michael Seidman
Ken Kitamura*
Affiliation:
Department of Otolarygology, Jichi Medical School, Tochigi-kenJapan.
Mamoru Miyata
Affiliation:
Department of Otolarygology, Jichi Medical School, Tochigi-kenJapan.
Hayes H. Wanamaker
Affiliation:
Ear Research Foundation, Sarasota, U.S.A.
Herbert Silverstein
Affiliation:
Ear Research Foundation, Sarasota, U.S.A.
Michael Seidman
Affiliation:
Ear Research Foundation, Sarasota, U.S.A.
*
Address for correspondence: K. Kitamura, M.D., Department of Otolaryngology, Jichi Medical School, Minamikawachi-machi, Tochigi-ken, Japan329-04. Fax: 81 285 44 5547.
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Abstract

Posterior fossa vistibular neurectomy has become one of the most effective surgincal procedures for control of vertigo symptoms in Menière's disease. A small group patients continue to have vertigo and demonstratablke vestibular function by electronystagmography (ENG) post-operatively. Another group of patients may have also. In an effort to correlate hitological findings with clinical outcome, nerve biopsies were comapared with clinical, audiometric and ENG results. Results of this study demonstratge that complete reduction of vestibylar response (on calorica testing) and clinical cure of vertigo can be obtained despite a variable number of nerve fibres at vestibular neurectomy.

Keywords

meneère's diseaseVestibular nerve, surgeryHistologyVestibular function tests
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 3 , March 1996 , pp. 211 - 215
Copyright
Copyright © JLO (1984) Limited 1996

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