メニエ-ル病に対する内リンパ嚢手術の考察--内リンパ嚢壁切開は必要か? (前庭機能異常の研究-3-<特集>)

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Endolymphatic sac operations were performed in 23 patients with Meniere's disease. Nine of them were free of attacks for more than 10 years after Portmann's operation. However, it is hard to believe that the endolymphatic sac fistula can be kept for more than 10 years. Although the endolymphatic shunt operation could form a semi-permanent fistula, postoperative exacerbations of hearing impairment were oftenly experienced. Shambough's operation had a so-called decompressive effect without opening the endolymphatic sac. In order to prevent a recurrence, adequate managements after the decompression operation are important rather than opening the endolymphatic sac.
耳鼻咽喉科臨床学会の論文