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J. Ross (1953)
Some unsolved problems in the surgery of the sympathetic nervous system.Annals of the Royal College of Surgeons of England, 13 6
Roland Lewis (1954)
The Effects of Cervical Sympathectomy in Ménière's DiseaseThe Journal of Laryngology & Otology, 68
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P. Golding‐Wood (1960)
Ménière's Disease and its Pathological MechanismThe Journal of Laryngology & Otology, 74
R. Smithwick (1936)
MODIFIED DORSAL SYMPATHECTOMY FOR VASCULAR SPASM (RAYNAUD'S DISEASE) OF THE UPPER EXTREMITY: A PRELIMINARY REPORTAnnals of Surgery, 104
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N. Freeman, R. Smithwick, J. White (1934)
Adrenal secretion in man. The reactions of the blood vessels of the human extremity, sensitized by sympathectomy, to adrenalin and to adrenal secretion resulting from insulin hypoglycemia.American Journal of Physiology, 107
B. Femenić (1961)
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Conservative Surgery in the Management of Ménière's DiseaseThe Journal of Laryngology & Otology, 70
E. Passe (1951)
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Richard Mogan, C. Baumgartner (1945)
MÉNIÈRE'S DISEASEArchives of Otolaryngology-head & Neck Surgery, 41
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An unusual case of labyrinthine hydrops.Acta oto-laryngologica, 49 4
J. Seymour (1960)
The Ætiology, Pathology and Conservative Surgical Treatment of Ménière's DiseaseThe Journal of Laryngology & Otology, 74
The Journal of Laryngology and Otology The role of sympathectomy in the treatment of Meniere's disease 1
A recurring labyrinthine microcirculatory fault is held to be the basic fault in Meniere's disease. Characteristic hydrops is, thus, osmotically induced but, once established, may exert secondary effects. Only a few patients require surgery. Widely different methods often attain success, but no particular technique is applicable in all cases. Patients requiring surgery are grouped into four categories. Where both or the only useful ear is involved, bilateral cervicothoracic sympathectomy (C8-T3) offers the best chance of success with minimal risk. Reasons dictating this type of sympathetic resection are stated with longterm results in 247 patients. Some degree of renewed sympathetic activity inevitably occurs after two years and correlates well with the partial relapse of vertigo in 12% at this period. These results are shown graphically. Fifty percent maintain complete long-term relief of vertigo. Hearing and tinnitus improve in lesser proportions.
Archives of Otolaryngolog – American Medical Association
Published: May 1, 1973
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