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Long-Term Effects of Acoustic Neuroma Surgery

Long-Term Effects of Acoustic Neuroma Surgery Abstract ALTHOUGH consideration of the causes of mortality and morbidity in acoustic neuroma surgery is of primary importance in any attempt to improve the therapy of the tumor, it may also be important in the total analysis of such surgery to consider the quality of the results in the presumably "cured" patients who have had total tumor removal. Any new procedure should hopefully decrease the morbidity or mortality or both from previous surgical approaches to the problem, thereby improving both the quality or quantity or both of survival. We were interested in assessing the long-term effects of acoustic neuroma removal on overall health and employability but subjects operated upon via the translabyrinthine approach also offered a unique opportunity to study the long-term effects of unilateral labyrinthectomy and vestibular nerve section as they had had a relatively "neat" extirpation of these structures without manipulation of the brain stem or cerebullum. The long-term References 1. Fluur, E.: Vestibular Compensation After Labyrinthine Destruction , Acta Otolaryng 52:367-375 ( (Oct) ) 1960.Crossref 2. Fluur, E.: Efferent Influence on Vestibular Function Following Unilateral Labyrinthectomy , Acta Otolaryng 53:571-577 ( (Oct) ) 1961.Crossref 3. Bárány, R.: Untersuchungen über den vom Vestibularapparat des Ohres reflektorisch ausgelösten rhythmischen Nystagmus und seine Begleiterscheinungen , Mschr Ohrenheilk 40:193-297, 1906. 4. Bárány, R.: Weitere Untersuchungen über den vom Vestibular-Apparat des Ohres reflektorisch ausgelösten rhythmischen Nystagmus und seine Begleiterscheinungen , Mschr Ohrenheilk 41:477-526, 1907. 5. Cawthorne, T.: Vestibular Injuries , Proc Roy Soc Med 39:270-273 ( (March) ) 1946. 6. Dandy, W.E.: The Surgical Treatment of Meniere's Disease , Surg Gynec Obstet 72:421-425, 1941. 7. Day, K.M.: Labyrinth Surgery for Meniere's Disease , Laryngoscope 53:617-630 ( (Oct) ) 1943.Crossref 8. Cawthorne, T., et al: Studies in Human Vestibular Function , Brain 65:138-160 ( (June) ) 1942.Crossref 9. Aschan, G., et al: Nystagmography , Acta Otolaryng supp 129, ( (Nov) ) 1956. 10. House, W.F., et al: Transtemporal Bone Microsurgical Removal of Acoustic Neuromas , Arch Otolaryng 80:597-756 ( (Dec) ) 1964. 11. Graybiel, A., and Fregly, A.R.: A New Quantitative Ataxia Test Battery , Acta Otolaryng 61:292-312 ( (April) ) 1966.Crossref 12. Fregly, A.R., and Graybiel, A.: An Ataxia Test Battery Not Requiring the Use of Rails , Aerospace Med 39:277-282 ( (March) ) 1968. 13. Hitselberger, W.E.: Tumors of the Cerebellopontine Angle in Relation to Vertigo , Arch Otolaryng 85:539-541 ( (May) ) 1967.Crossref 14. Fukuda, T.: The Stepping Test: Two Phases of the Labyrinthine Reflex , Acta Otolaryng 50:95-108 ( (Jan) -Feb) 1959.Crossref 15. Peitersen, E.: Vestibulo-spinal Reflexes: X. Theoretical and Clinical Aspects of the Stepping Test , Arch Otolaryng 85:192-198 ( (Feb) ) 1967.Crossref 16. Peitersen, E.: Vestibulo-spinal Reflexes: VII. Alterations in the Stepping Test in Various Disorders of the Inner Ear and Vestibular Nerve , Arch Otolaryng 79:481-486 ( (May) ) 1964.Crossref 17. Fukuda, T.: Vertical Writing With Eyes Covered: A New Test of Vestibulo-spinal Reaction , Acta Otolaryng 50:26-36 ( (Jan) -Feb) 1959.Crossref 18. Brunia, C.H.M., and Hoppenbrouvers, T.: In Search of Tonic Cervical Reflexes: An Evaluation of Fukuda's Vertical Writing Test , Acta Otolaryng 61:547-554 ( (June) ) 1966.Crossref 19. Brunia, C.: Head Flexion and Fukuda's Vertical Writing Test , Arch Otolaryng 84:409-410, 1966.Crossref 20. de Haan, P.: Labyrinthine Reflexes During the Imminence of a Fall , Acta Otolaryng 47:123-133 ( (Feb) ) 1957.Crossref 21. Hellebrandt, F.A., and Franseen, E.B.: Physiological Study of the Vertical Stance of Man , Physiol Rev 23:220-255 ( (July) ) 1943. 22. Jordan, P.: Fukuda's Stepping Test , Arch Otolaryng 77:243-245 ( (March) ) 1963.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Long-Term Effects of Acoustic Neuroma Surgery

Archives of Otolaryngology , Volume 88 (6) – Dec 1, 1968

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00770010677017
Publisher site
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Abstract

Abstract ALTHOUGH consideration of the causes of mortality and morbidity in acoustic neuroma surgery is of primary importance in any attempt to improve the therapy of the tumor, it may also be important in the total analysis of such surgery to consider the quality of the results in the presumably "cured" patients who have had total tumor removal. Any new procedure should hopefully decrease the morbidity or mortality or both from previous surgical approaches to the problem, thereby improving both the quality or quantity or both of survival. We were interested in assessing the long-term effects of acoustic neuroma removal on overall health and employability but subjects operated upon via the translabyrinthine approach also offered a unique opportunity to study the long-term effects of unilateral labyrinthectomy and vestibular nerve section as they had had a relatively "neat" extirpation of these structures without manipulation of the brain stem or cerebullum. The long-term References 1. Fluur, E.: Vestibular Compensation After Labyrinthine Destruction , Acta Otolaryng 52:367-375 ( (Oct) ) 1960.Crossref 2. Fluur, E.: Efferent Influence on Vestibular Function Following Unilateral Labyrinthectomy , Acta Otolaryng 53:571-577 ( (Oct) ) 1961.Crossref 3. Bárány, R.: Untersuchungen über den vom Vestibularapparat des Ohres reflektorisch ausgelösten rhythmischen Nystagmus und seine Begleiterscheinungen , Mschr Ohrenheilk 40:193-297, 1906. 4. Bárány, R.: Weitere Untersuchungen über den vom Vestibular-Apparat des Ohres reflektorisch ausgelösten rhythmischen Nystagmus und seine Begleiterscheinungen , Mschr Ohrenheilk 41:477-526, 1907. 5. Cawthorne, T.: Vestibular Injuries , Proc Roy Soc Med 39:270-273 ( (March) ) 1946. 6. Dandy, W.E.: The Surgical Treatment of Meniere's Disease , Surg Gynec Obstet 72:421-425, 1941. 7. Day, K.M.: Labyrinth Surgery for Meniere's Disease , Laryngoscope 53:617-630 ( (Oct) ) 1943.Crossref 8. Cawthorne, T., et al: Studies in Human Vestibular Function , Brain 65:138-160 ( (June) ) 1942.Crossref 9. Aschan, G., et al: Nystagmography , Acta Otolaryng supp 129, ( (Nov) ) 1956. 10. House, W.F., et al: Transtemporal Bone Microsurgical Removal of Acoustic Neuromas , Arch Otolaryng 80:597-756 ( (Dec) ) 1964. 11. Graybiel, A., and Fregly, A.R.: A New Quantitative Ataxia Test Battery , Acta Otolaryng 61:292-312 ( (April) ) 1966.Crossref 12. Fregly, A.R., and Graybiel, A.: An Ataxia Test Battery Not Requiring the Use of Rails , Aerospace Med 39:277-282 ( (March) ) 1968. 13. Hitselberger, W.E.: Tumors of the Cerebellopontine Angle in Relation to Vertigo , Arch Otolaryng 85:539-541 ( (May) ) 1967.Crossref 14. Fukuda, T.: The Stepping Test: Two Phases of the Labyrinthine Reflex , Acta Otolaryng 50:95-108 ( (Jan) -Feb) 1959.Crossref 15. Peitersen, E.: Vestibulo-spinal Reflexes: X. Theoretical and Clinical Aspects of the Stepping Test , Arch Otolaryng 85:192-198 ( (Feb) ) 1967.Crossref 16. Peitersen, E.: Vestibulo-spinal Reflexes: VII. Alterations in the Stepping Test in Various Disorders of the Inner Ear and Vestibular Nerve , Arch Otolaryng 79:481-486 ( (May) ) 1964.Crossref 17. Fukuda, T.: Vertical Writing With Eyes Covered: A New Test of Vestibulo-spinal Reaction , Acta Otolaryng 50:26-36 ( (Jan) -Feb) 1959.Crossref 18. Brunia, C.H.M., and Hoppenbrouvers, T.: In Search of Tonic Cervical Reflexes: An Evaluation of Fukuda's Vertical Writing Test , Acta Otolaryng 61:547-554 ( (June) ) 1966.Crossref 19. Brunia, C.: Head Flexion and Fukuda's Vertical Writing Test , Arch Otolaryng 84:409-410, 1966.Crossref 20. de Haan, P.: Labyrinthine Reflexes During the Imminence of a Fall , Acta Otolaryng 47:123-133 ( (Feb) ) 1957.Crossref 21. Hellebrandt, F.A., and Franseen, E.B.: Physiological Study of the Vertical Stance of Man , Physiol Rev 23:220-255 ( (July) ) 1943. 22. Jordan, P.: Fukuda's Stepping Test , Arch Otolaryng 77:243-245 ( (March) ) 1963.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Dec 1, 1968

References