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Cochleosacculotomy for meniere's disease: Theory, technique and results
Author(s) -
Schuknecht Harold F.
Publication year - 1982
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198208000-00004
Subject(s) - round window , medicine , meniere's disease , vertigo , surgery , audiology , otitis , oval window , middle ear , cochlea , stapes
A series of 51 patients with intractable vertigo from Meniere's disease were treated by a surgical procedure termed cochleosacculotomy. In this operation a right‐angled pick is introduced through the round window membrane and advanced 3 mm in the direction of the oval window. This passage carries the pick through the cochlear partition causing a fracture‐disruption of the osseous spiral lamina and cochlear duct. Within the time limits of this study (mean 4.32 months) 88% were relieved of disabling vertigo. Hearing losses of more than 20 dB occurred in 23% of the patients. Profound hearing losses occurred in two patients, one of which was associated with postoperative otitis media.