Treatment of Meniere's Disease with Ultrasonic Waves
- 1 December 1961
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery
- Vol. 74 (6) , 615-619
- https://doi.org/10.1001/archotol.1961.00740030628003
Abstract
Selective destruction of the vestibular portion of the labyrinth by irradiation with ultrasonic waves after surgical exposure of the semicircular canals seems to be the most promising method of surgical treatment of Meniere's disease (Arslan,7-9 Lumsden,13,14 Dubs,10 Altmann and Waltner,1-3 Ironside and Lindsay,11 Ariagno,5 Angell James and others4). The cochlear function is preserved while irreversible complete hearing loss is the rule in destructive labyrinthine surgery. The results of cervical sympathectomy are far less satisfactory and often transitory. Lately, the syndrome of intermittent vertebral artery compression was described by Powers, Drislane, and Nevins;15 it consists of episodic symptoms of vertebral artery insufficiency, evidence of scalenus anticus compression syndrome, and a supraclavicular bruit. Angiograms show an abnormal origin of the vertebral artery at the level of the thyrocervical trunk. The precipitating factors are either emotional stress or rotation and extension of the head. InKeywords
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