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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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References

Cass, S. P., Kartush, J. M., Graham, M. D. (1992) Patterns of vestibular function following vestibular nerve section. Laryngoscope 102: 388–394.Google Scholar
Fujii, M, Goto, N., Kikuchi, K. (1990) Nerve fibre analysis and the aging process of the vestibulocochlear nerve. Annals of Otology, Rhinology and Laryngology 99: 863–870.CrossRefGoogle ScholarPubMed
Hallpike, C. S., Cairns, H. (1938) Observations on the pathology of Menière's syndrome. Proceedings of the Royal Society of Medicine 31: 1317–1336.Google Scholar
Kemink, J. L., Hoff, J. T. (1986) Retrolabyrinthine vestibular nerve section: Analysis of results. Laryngoscope 96: 33–36.CrossRefGoogle ScholarPubMed
Lee, W. S., Suarez, C, Honrubia, V., Gomez, J. (1990) Morphological aspects of the human vestibular nerve. Laryngoscope 100: 756–764.CrossRefGoogle ScholarPubMed
McElveen, J. T. Jr., House, J. W., Hitselberger, W. E., Brackmann, D. E. (1984) Retrolabyrinthine vestibular nerve section: a viable alternative to the middle fossa approach. Otolaryngology-Head and Neck Surgery 92: 136–140.CrossRefGoogle Scholar
Monsell, E. M., Wiet, R. J., Young, N. M., Kazan, R. P. (1988a) Surgical treatment of vertigo with retrolabyrinthing vestibular neurectomy. Laryngoscope 98: 835–839.CrossRefGoogle ScholarPubMed
Monsell, E. M., Brackmann, D. E., Linthicum, F. H. Jr. (1988b) Why do vestibular destructive procedures sometimes fail? Otolaryngology-Head and Neck Surgery 99: 472–479.Google Scholar
Natout, M. A. Y., Terr, L. I., Linthicum, F. H. Jr., House, W. F. (1987) Topography of vestibulocochlear nerve fibres in the posterior cranial fossa. Laryngoscope 97: 954–958.CrossRefGoogle ScholarPubMed
Pearson, B. W., Brackmann, D. E. (1985) Committee on hearing and equilibrium guidelines for reporting treatment results in Menière's disease. Otolaryngology-Head and Neck Surgery 93: 579–581.CrossRefGoogle ScholarPubMed
Rasmussen, A. T. (1940) Studies of the VHIth cranial nerve of man. Laryngoscope 50: 67–83.CrossRefGoogle Scholar
Ritter., J., Behrbohm, H., Gerhardt, H. -J. (1981) Quantitative Befunde zur Morphologie des Nervus Vestibularis beim Morbus Meniere. Ada Otolaryngologica (Stockholm) 92: 385–396.CrossRefGoogle Scholar
Rosenberg, S., Silverstein, H., Norrell, H., White, D. (1991) Auditory and vestibular function after vestibular neurectomy. Otolaryngology, Head and Neck Surgery 104: 139–140.CrossRefGoogle ScholarPubMed
Schefter, R. P., Harner, S. G. (1986) Histologic study of the vestibulocochlear nerve. Annals of Otology, Rhinology and Laryngology 95: 146–150.CrossRefGoogle ScholarPubMed
Silverstein, H., Norrell, H. (1980) Retrolabyrinthine surgery: A direct approach to the cerebellopontine angle. Otolaryngology, Head and Neck Surgery 88: 462–469.CrossRefGoogle ScholarPubMed
Silverstein, H., Smouha, E., Jones, R. (1989) Natural history vs surgery for Meniere's disease. Otolaryngology-Head and Neck Surgery 100: 6–16.CrossRefGoogle ScholarPubMed
Silverstein, H., Norrell, H., Smouha, E., Jones, R., Rosenberg, S. (1990) Combined retrolabyrinthine-retrosigmoid vestibular neurectomy: An evolution of approach in vestibular neurectomy. Otolaryngology-Head and Neck Surgery 102: 374–381.CrossRefGoogle Scholar
Silverstein, H., Norrell, H., Wanamaker, H., Flanzer, J. (1991) Microsurgical posterior fossa vestibular neurectomy: An evolution in technique. Skull Base Surgery 1: 16–25.CrossRefGoogle ScholarPubMed
Wazen, J., Markowitz, A., Donatelle, C, Post, K. (1990) Hearing after retrolabyrinthine vestibular neurectomy. Laryngoscope 100: 477–480.CrossRefGoogle ScholarPubMed
Ylikoski., J., Collan, Y., Palva, T. (1980) Vestibular nerve in Menière's disease. Archives of Otolaryngology 106: 477–483.CrossRefGoogle ScholarPubMed