PMID: 2113265Apr 1, 1990Paper

An evolution of approach in vestibular neurectomy

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
H SilversteinS Rosenberg

Abstract

Since introducing the retrolabyrinthine vestibular neurectomy in 1978, we have performed 78 procedures with good results. In 1985 we introduced the retrosigmoid-IAC vestibular neurectomy, which allows a more complete transection of the vestibular nerves within the internal auditory canal (IAC). Vertigo control has been excellent; however, in 75% of patients, postoperative headaches have been a significant problem. In 1987, the best aspects of the two procedures were incorporated and the combined retrolab-retrosigmoid vestibular neurectomy was developed. The procedure is similar to the RVN in that all bone covering the lateral venous sinus is removed. It differs from the RVN in that a limited mastoidectomy is performed and the dura is opened just behind the LVS. The LVS is retracted forward, exposing the cerebellopontine angle. This allows the surgeon the option to section the vestibular nerve in either the CP angle or the IAC, depending upon the presence or absence of a cochieovestibular cleavage plane in the CP angle. The results have been good and the incidence of headache has been reduced to 10%. The technique, results, and complications are reported here.

References

Sep 1, 1987·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·H SilversteinE E Smouha
Mar 1, 1988·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·H SilversteinR Jones
Dec 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·H SilversteinH Norrell
Nov 1, 1982·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·H Silverstein, H Norrell

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Citations

Jan 1, 1994·Acta Oto-laryngologica. Supplementum·J E Benecke
Dec 16, 1998·The Laryngoscope·P A WackymD S Poe
Sep 25, 2001·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·H Silverstein
Oct 13, 2017·Neurologia Medico-chirurgica·Noritaka AiharaMitsuhito Mase
Feb 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·J G ColebatchN F Skuse
Jan 1, 1992·Acta Oto-laryngologica·R HäuslerB Demierre
Jan 1, 1995·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·S N MerchantJ B Nadol
Mar 1, 1996·The Journal of Laryngology and Otology·K KitamuraM Seidman
Jun 13, 1998·The Journal of Laryngology and Otology·C R Jennings, G M O'Donoghue
Aug 31, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Martin SchlegelMarco Domenico Caversaccio
Oct 24, 2002·Otolaryngologic Clinics of North America·Phillip A WackymDennis S Poe

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