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Cryosurgical Treatment of Meniere's Disease

Cryosurgical Treatment of Meniere's Disease Abstract THIS PAPER represents a progress report regarding my present concepts of Meniere's disease and the surgical management of this problem. Specifically, I will review in detail what I consider to be a very promising procedure, namely, the cryosurgical treatment of Meniere's disease. Concepts of Meniere's Disease Meniere's disease is characterized by episodic vertigo, tinnitus, and fluctuating, but progressive, loss of hearing. The most distressing of these symptoms to the patient is the episodic vertigo.At present, my concepts of the inner ear as related to Meniere's disease are as follows: Meniere's Disease Results When There Is an Accumulation of Excess Endolymph Due Either to Overproduction or Underabsorption.—In 1871, Knapp 1 suggested that "glaucoma of the eye is perhaps a counterpart of Meniere's disease." Portmann2,3 concluded that the crisis of localized hypertension could be handled by decompression in a manner similar to the treatment of ocular glaucoma. Therefore, in 1927, References 1. Knapp, H.: Clinical Analysis of Inflammatory Affections of Inner Ear , Arch Ophthal Otolaryng 2:204-283, 1871. 2. Portmann, G.: Vertigo: Surgical Treatment by Opening Saccus Endolymphaticus , Arch Otolaryng 6:309-319 ( (Oct) ) 1927.Crossref 3. Portmann, G.: Saccus Endolymphaticus and Operation for Drainage the Same for Relief of Vertigo , Laryngoscope 42:809-817 ( (Dec) ) 1927. 4. Hallpike, C.S., and Cairns, H.: Observations on Pathology of Meniere's Syndrome , J Laryng 53:625-655 ( (Oct) ) 1938.Crossref 5. Misrahy, G.A., et al: Endolymphatic Oxygen Tension in Cochlea of Guinea Pig , J Acoust Soc Amer 30:247-250 ( (April) ) 1958.Crossref 6. Misrahy, G.A.; Shinabarger, E.W.; and Arnold, J.E.: Changes in Cochlear Endolymphatic Oxygen Availability, Action Potention, and Microphonics During and Following Asphyxia, Hypoxia, and Exposure to Loud Sounds , J Acoust Soc Amer 30:701-704 ( (Aug) ) 1958.Crossref 7. Guild, S.R.: Circulation of Endolymph , Amer J Anat 39:57-81 ( (March) ) 1927.Crossref 8. Ormerod, F.C.: Physiology of Endolymph , J Laryng 74:659-667 ( (Sept) ) 1960.Crossref 9. Lindsay, J.R.: Effect of Obliteration of Endolymphatic Sac and Duct in Monkey , Arch Otolaryng 45:1-13 ( (Jan) ) 1947.Crossref 10. Lindsay, J.R., et al: Obliteration of Endolymphatic Sac and Cochlear Aqueduct , Ann Otol 61:696-716 ( (Dec) ) 1952. 11. Secretan, J.P.: De l'histologie normal du sac endolymphatique chez l'homme , Acta Otolaryng 32:119-163, 1944.Crossref 12. Watzke, D., and Bast, T.H.: Development and Structure of Otic (Endolymphatic) Sac , Anat Rec 106:361-379 ( (March) ) 1960.Crossref 13. Naftalin, L., and Harrison, M.S.: Circulation of Labyrinthine Fluids , J Laryng 72:118-136 ( (Feb) ) 1958.Crossref 14. Lawrence, M.; Wolsk, D.; and Litton, W.B.: Circulation of Inner Ear Fluids , Ann Otol 70:753-776 ( (Sept) ) 1961. 15. Wullstein, H.L., and Rauch, S.: Endolymph and Perilymph in Meniere's Disease , Arch Otolaryng 73:262-267 ( (March) ) 1961.Crossref 16. Tonndorf, J.: Mechanism of Hearing Loss in Early Cases of Endolymphatic Hydrops , Ann Otol 66:766-784 ( (Sept) ) 1957. 17. McCabe, B.F., and Wolsk, D.: Experimental Inner Ear Pressure Changes , Ann Otol 70:541-555 ( (June) ) 1961. 18. Lindsay, J.R.: Hydrops of Labyrinth , Arch Otolaryng 71:500-510, 1960.Crossref 19. Lawrence, M., and McCabe, B.: Inner Ear Mechanics and Deafness , JAMA 171:1929-1932, 1959. 20. Schuknecht, F.H.; Benitez, J.T.; and Beekhuis, J.: Further Observations on Pathology of Meniere's Disease , Ann Otol 61:1039-1053 ( (Dec) ) 1962. 21. Schuknecht, H.F., and El Seifi, T.: Experimental Observations on Fluid Physiology of Inner Ear , Ann Otol 52:687-712 ( (Sept) ) 1963. 22. Lawrence, M.: Histological Evidence for Localized Radial Flow of Endolymph , Arch Otolaryng 83:406-412 ( (May) ) 1966.Crossref 23. Igarashi, M.: Histopathological Findings After Experimental Saccular Destruction in the Squirrel Monkey , Laryngoscope 75:1048-1061, 1965.Crossref 24. Guilford, F.R.; Fields, W.S.; and Alford, B.R.: Treatment of Meniere's Disease, Neurological Aspects of Auditory and Vestibular Disorders , Springfield, Ill: Charles C Thomas, Publisher, to be published. 25. House, W.F.: Subarachnoid Shunt for Drainage of Hydrops: A Report of 146 Cases , Laryngoscope 75:1547-1551 ( (Oct) ) 1965.Crossref 26. Clemis, J.D., and Shambaugh, G.E., Jr.: Preliminary Experiences With Operations on the Endolymphatic Sac , Laryngoscope 76:1029-1041 ( (June) ) 1966.Crossref 27. Arslan, M.: L'applicazione diretta degli ultrasuoni sul labirinto osseo nells cura delle labirintosi , Minerva Otorinolaring 3:4, 1953. 28. Hughes, D.E., and Choud, J.T.Y.: The Biochemistry of the Inner Ear and the Consequences of Treatment by Ultrasound , Acta Otolaryng 192:199-206, 1964.Crossref 29. Angell-James, J.: Ultrasonic Therapy for Hydrops , Laryngoscope 75:1552-1557 ( (Oct) ) 1965.Crossref 30. Wolfson, R.J.; Cutt, R.A.; and Myers, D.: Cryosurgery of the Labyrinth: Preliminary Report of a New Surgical Procedure , Laryngoscope 76:733-757 ( (April) ) 1966.Crossref 31. Fick, J.A. van N.: Sacculotomy for Hydrops , Laryngoscope 75:1539-1546 ( (Oct) ) 1965.Crossref 32. Schuknecht, F.H.; Benitez, J.T.; and Beekhuis, J.: Further Observations on Pathology of Meniere's Disease , Ann Otol 61:1039-1053 ( (Dec) ) 1962. 33. Kaufman, R.S.; Tonndorf, J.; and Khanna, S.: Short-Term Changes in Cochlear Microphonics After Perforation of the Saccule in the Cat , Laryngoscope 76:719-732 ( (April) ) 1966.Crossref 34. House, W.F., and Hitselberger, W.E.: Endolymphatic Subarachnoid Shunt for Meniere's Disease: Report of a Case With Unusual Complication Following This Procedure , Arch Otolaryng 82:144-146 ( (Aug) ) 1965.Crossref 35. Cooper, I.S.: Cryogenic Surgery for Cancer , Fed Proc 24( (suppl 15) ):237 (March-April) 1965. 36. Cahan, W.G.: Cryosurgery of Malignant and Benign Tumors , Fed Proc 24( (suppl 15) ):241 (March-April) 1965. 37. Cutt, R.A., et al: Preliminary Results With Experimental Cryosurgery of the Labyrinth , Arch Otolaryng 82:147-158, 1965.Crossref 38. Jongkees, L.B.W., and Philipszoon, A.J.: The Caloric Test in Meniere's Disease , Acta Otolaryng 192:168-170, 1964.Crossref 39. Stahle, J., and Sahl, R.: Electronystagmography in Meniere's Disease Before, During and After Ultrasonic Irradiation , Acta Otolaryng 192:154-166, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Cryosurgical Treatment of Meniere's Disease

HOUSE, WILLIAM F.
Archives of Otolaryngology , Volume 84 (6) – Dec 1, 1966
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References (40)

Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1966.00760030618005
Publisher site
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Abstract

Abstract THIS PAPER represents a progress report regarding my present concepts of Meniere's disease and the surgical management of this problem. Specifically, I will review in detail what I consider to be a very promising procedure, namely, the cryosurgical treatment of Meniere's disease. Concepts of Meniere's Disease Meniere's disease is characterized by episodic vertigo, tinnitus, and fluctuating, but progressive, loss of hearing. The most distressing of these symptoms to the patient is the episodic vertigo.At present, my concepts of the inner ear as related to Meniere's disease are as follows: Meniere's Disease Results When There Is an Accumulation of Excess Endolymph Due Either to Overproduction or Underabsorption.—In 1871, Knapp 1 suggested that "glaucoma of the eye is perhaps a counterpart of Meniere's disease." Portmann2,3 concluded that the crisis of localized hypertension could be handled by decompression in a manner similar to the treatment of ocular glaucoma. Therefore, in 1927, References 1. Knapp, H.: Clinical Analysis of Inflammatory Affections of Inner Ear , Arch Ophthal Otolaryng 2:204-283, 1871. 2. Portmann, G.: Vertigo: Surgical Treatment by Opening Saccus Endolymphaticus , Arch Otolaryng 6:309-319 ( (Oct) ) 1927.Crossref 3. Portmann, G.: Saccus Endolymphaticus and Operation for Drainage the Same for Relief of Vertigo , Laryngoscope 42:809-817 ( (Dec) ) 1927. 4. Hallpike, C.S., and Cairns, H.: Observations on Pathology of Meniere's Syndrome , J Laryng 53:625-655 ( (Oct) ) 1938.Crossref 5. Misrahy, G.A., et al: Endolymphatic Oxygen Tension in Cochlea of Guinea Pig , J Acoust Soc Amer 30:247-250 ( (April) ) 1958.Crossref 6. Misrahy, G.A.; Shinabarger, E.W.; and Arnold, J.E.: Changes in Cochlear Endolymphatic Oxygen Availability, Action Potention, and Microphonics During and Following Asphyxia, Hypoxia, and Exposure to Loud Sounds , J Acoust Soc Amer 30:701-704 ( (Aug) ) 1958.Crossref 7. Guild, S.R.: Circulation of Endolymph , Amer J Anat 39:57-81 ( (March) ) 1927.Crossref 8. Ormerod, F.C.: Physiology of Endolymph , J Laryng 74:659-667 ( (Sept) ) 1960.Crossref 9. Lindsay, J.R.: Effect of Obliteration of Endolymphatic Sac and Duct in Monkey , Arch Otolaryng 45:1-13 ( (Jan) ) 1947.Crossref 10. Lindsay, J.R., et al: Obliteration of Endolymphatic Sac and Cochlear Aqueduct , Ann Otol 61:696-716 ( (Dec) ) 1952. 11. Secretan, J.P.: De l'histologie normal du sac endolymphatique chez l'homme , Acta Otolaryng 32:119-163, 1944.Crossref 12. Watzke, D., and Bast, T.H.: Development and Structure of Otic (Endolymphatic) Sac , Anat Rec 106:361-379 ( (March) ) 1960.Crossref 13. Naftalin, L., and Harrison, M.S.: Circulation of Labyrinthine Fluids , J Laryng 72:118-136 ( (Feb) ) 1958.Crossref 14. Lawrence, M.; Wolsk, D.; and Litton, W.B.: Circulation of Inner Ear Fluids , Ann Otol 70:753-776 ( (Sept) ) 1961. 15. Wullstein, H.L., and Rauch, S.: Endolymph and Perilymph in Meniere's Disease , Arch Otolaryng 73:262-267 ( (March) ) 1961.Crossref 16. Tonndorf, J.: Mechanism of Hearing Loss in Early Cases of Endolymphatic Hydrops , Ann Otol 66:766-784 ( (Sept) ) 1957. 17. McCabe, B.F., and Wolsk, D.: Experimental Inner Ear Pressure Changes , Ann Otol 70:541-555 ( (June) ) 1961. 18. Lindsay, J.R.: Hydrops of Labyrinth , Arch Otolaryng 71:500-510, 1960.Crossref 19. Lawrence, M., and McCabe, B.: Inner Ear Mechanics and Deafness , JAMA 171:1929-1932, 1959. 20. Schuknecht, F.H.; Benitez, J.T.; and Beekhuis, J.: Further Observations on Pathology of Meniere's Disease , Ann Otol 61:1039-1053 ( (Dec) ) 1962. 21. Schuknecht, H.F., and El Seifi, T.: Experimental Observations on Fluid Physiology of Inner Ear , Ann Otol 52:687-712 ( (Sept) ) 1963. 22. Lawrence, M.: Histological Evidence for Localized Radial Flow of Endolymph , Arch Otolaryng 83:406-412 ( (May) ) 1966.Crossref 23. Igarashi, M.: Histopathological Findings After Experimental Saccular Destruction in the Squirrel Monkey , Laryngoscope 75:1048-1061, 1965.Crossref 24. Guilford, F.R.; Fields, W.S.; and Alford, B.R.: Treatment of Meniere's Disease, Neurological Aspects of Auditory and Vestibular Disorders , Springfield, Ill: Charles C Thomas, Publisher, to be published. 25. House, W.F.: Subarachnoid Shunt for Drainage of Hydrops: A Report of 146 Cases , Laryngoscope 75:1547-1551 ( (Oct) ) 1965.Crossref 26. Clemis, J.D., and Shambaugh, G.E., Jr.: Preliminary Experiences With Operations on the Endolymphatic Sac , Laryngoscope 76:1029-1041 ( (June) ) 1966.Crossref 27. Arslan, M.: L'applicazione diretta degli ultrasuoni sul labirinto osseo nells cura delle labirintosi , Minerva Otorinolaring 3:4, 1953. 28. Hughes, D.E., and Choud, J.T.Y.: The Biochemistry of the Inner Ear and the Consequences of Treatment by Ultrasound , Acta Otolaryng 192:199-206, 1964.Crossref 29. Angell-James, J.: Ultrasonic Therapy for Hydrops , Laryngoscope 75:1552-1557 ( (Oct) ) 1965.Crossref 30. Wolfson, R.J.; Cutt, R.A.; and Myers, D.: Cryosurgery of the Labyrinth: Preliminary Report of a New Surgical Procedure , Laryngoscope 76:733-757 ( (April) ) 1966.Crossref 31. Fick, J.A. van N.: Sacculotomy for Hydrops , Laryngoscope 75:1539-1546 ( (Oct) ) 1965.Crossref 32. Schuknecht, F.H.; Benitez, J.T.; and Beekhuis, J.: Further Observations on Pathology of Meniere's Disease , Ann Otol 61:1039-1053 ( (Dec) ) 1962. 33. Kaufman, R.S.; Tonndorf, J.; and Khanna, S.: Short-Term Changes in Cochlear Microphonics After Perforation of the Saccule in the Cat , Laryngoscope 76:719-732 ( (April) ) 1966.Crossref 34. House, W.F., and Hitselberger, W.E.: Endolymphatic Subarachnoid Shunt for Meniere's Disease: Report of a Case With Unusual Complication Following This Procedure , Arch Otolaryng 82:144-146 ( (Aug) ) 1965.Crossref 35. Cooper, I.S.: Cryogenic Surgery for Cancer , Fed Proc 24( (suppl 15) ):237 (March-April) 1965. 36. Cahan, W.G.: Cryosurgery of Malignant and Benign Tumors , Fed Proc 24( (suppl 15) ):241 (March-April) 1965. 37. Cutt, R.A., et al: Preliminary Results With Experimental Cryosurgery of the Labyrinth , Arch Otolaryng 82:147-158, 1965.Crossref 38. Jongkees, L.B.W., and Philipszoon, A.J.: The Caloric Test in Meniere's Disease , Acta Otolaryng 192:168-170, 1964.Crossref 39. Stahle, J., and Sahl, R.: Electronystagmography in Meniere's Disease Before, During and After Ultrasonic Irradiation , Acta Otolaryng 192:154-166, 1964.Crossref

Journal

Archives of Otolaryngology – American Medical Association

Published: Dec 1, 1966

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