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Treatment of Vertigo Using the Ultrasonic Generator

Treatment of Vertigo Using the Ultrasonic Generator Abstract ULTRASONIC irradiation of the semicircular canals for treatment of vestibular disturbances was first described by Arslan1 in 1953. Although the equipment originally used by Arslan has been superseded by more efficient generators,2-4 the original method of applying the irradiation to the surgically exposed semicircular canal has not been changed. The main developments have been in the design of more suitable applicators and clinical evaluation of the results of the irradiation, which have established that ultrasonic irradiation abolishes vertigo attacks in a large percentage of cases, while preserving hearing in the affected ear. As the surgical procedure is relatively simple and the new generators are reliable and simple to operate, the technique is becoming accepted by many otologists as the choice method of treating vestibular disturbances which do not respond to standard chemotherapy. The CAL Generator The CAL ultrasonic generator (Fig 1), designed to overcome the disadvantages of the References 1. Arslan, M.: "Treatment of Meniere's Syndrome by Direct Application of Ultrasound to the Vestibular System," in Proceedings, Fifth International Congress, Otorhinolaryngology, Amsterdam, 1953, p 429. 2. Kossoff, G.: Physical Instrumentation for Application of Ultrasound in Vestibular Disturbances, Commonwealth Acoustic Laboratories Report No. 20, Sydney, Australia. 3. James, J.A., et al: New 3-Megacycle Generator for Destruction of Vestibular End Organ , Acta Otolaryng 56:148, 1963.Crossref 4. Sjoberg, A., et al: Treatment of Meniere's Disease by Ultrasonic Irradiation , Acta Otolaryng , (suppl 178) , 1963. 5. Kossoff, G.: Design of the CAL Ultrasonic Generator for the Treatment of Meniere's Disease , IEEE Trans Sonics Ultrasonics SU-11:95, 1964.Crossref 6. Basek, M., and Epanchin, V.N.: New Ultrasonic Generator for Treating Meniere's Disease , Arch Otolaryng 80:271, 1964.Crossref 7. Kossoff, G., et al: The Use of the CAL Ultrasonic Generator in Meniere's Disease , J Laryng 78:245, 1964.Crossref 8. Arslan, M.: Prime applicazioni del metodo di distruzione ultrasonica dell'ipofisi per via transetmoidale , Min Otorinolaring 15:1-2, 1965. 9. Bullen, M.A., et al: A Physical Survey of the Ultrasonic Treatment of Meniere's disease , Ultrasonics 1:2, 1963.Crossref 10. Savetsley, L., and Altmann, F.: The Treatment of Meniere's Disease With Ultrasound , Arch Otolaryng 77:181, 1963.Crossref 11. Arslan, M.: Ultrasonic Destruction of the Vestibular Receptors in Severe Meniere's Disease , Laryngoscope 74:1262, 1964.Crossref 12. Giencarlo, H., et al: Vestibular Changes Following Ultrasonic Irradiation , Arch Otolaryng 82:365, 1965.Crossref 13. Bell, E.: Action of Ultrasound on Adult and Embryonic Organ Systems , Amer J Phys Med 37:184, 1958. 14. Hughes, D.E.: Ultrasonic Energy , Urbana, Ill, University of Illinois Press, 1965. 15. Hughes, D.E., and Chou, J.T.Y.: The Biochemistry of the Inner Ear and the Consequences of Treatment by Ultrasound , Acta Otolaryng , (suppl 192) , p 200, 1963. 16. Dohlman, G.F.: Secretion and Absorption of Endolymph , Ann Otol 73:708, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Treatment of Vertigo Using the Ultrasonic Generator

Archives of Otolaryngology , Volume 84 (2) – Aug 1, 1966

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1966.00760030183012
Publisher site
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Abstract

Abstract ULTRASONIC irradiation of the semicircular canals for treatment of vestibular disturbances was first described by Arslan1 in 1953. Although the equipment originally used by Arslan has been superseded by more efficient generators,2-4 the original method of applying the irradiation to the surgically exposed semicircular canal has not been changed. The main developments have been in the design of more suitable applicators and clinical evaluation of the results of the irradiation, which have established that ultrasonic irradiation abolishes vertigo attacks in a large percentage of cases, while preserving hearing in the affected ear. As the surgical procedure is relatively simple and the new generators are reliable and simple to operate, the technique is becoming accepted by many otologists as the choice method of treating vestibular disturbances which do not respond to standard chemotherapy. The CAL Generator The CAL ultrasonic generator (Fig 1), designed to overcome the disadvantages of the References 1. Arslan, M.: "Treatment of Meniere's Syndrome by Direct Application of Ultrasound to the Vestibular System," in Proceedings, Fifth International Congress, Otorhinolaryngology, Amsterdam, 1953, p 429. 2. Kossoff, G.: Physical Instrumentation for Application of Ultrasound in Vestibular Disturbances, Commonwealth Acoustic Laboratories Report No. 20, Sydney, Australia. 3. James, J.A., et al: New 3-Megacycle Generator for Destruction of Vestibular End Organ , Acta Otolaryng 56:148, 1963.Crossref 4. Sjoberg, A., et al: Treatment of Meniere's Disease by Ultrasonic Irradiation , Acta Otolaryng , (suppl 178) , 1963. 5. Kossoff, G.: Design of the CAL Ultrasonic Generator for the Treatment of Meniere's Disease , IEEE Trans Sonics Ultrasonics SU-11:95, 1964.Crossref 6. Basek, M., and Epanchin, V.N.: New Ultrasonic Generator for Treating Meniere's Disease , Arch Otolaryng 80:271, 1964.Crossref 7. Kossoff, G., et al: The Use of the CAL Ultrasonic Generator in Meniere's Disease , J Laryng 78:245, 1964.Crossref 8. Arslan, M.: Prime applicazioni del metodo di distruzione ultrasonica dell'ipofisi per via transetmoidale , Min Otorinolaring 15:1-2, 1965. 9. Bullen, M.A., et al: A Physical Survey of the Ultrasonic Treatment of Meniere's disease , Ultrasonics 1:2, 1963.Crossref 10. Savetsley, L., and Altmann, F.: The Treatment of Meniere's Disease With Ultrasound , Arch Otolaryng 77:181, 1963.Crossref 11. Arslan, M.: Ultrasonic Destruction of the Vestibular Receptors in Severe Meniere's Disease , Laryngoscope 74:1262, 1964.Crossref 12. Giencarlo, H., et al: Vestibular Changes Following Ultrasonic Irradiation , Arch Otolaryng 82:365, 1965.Crossref 13. Bell, E.: Action of Ultrasound on Adult and Embryonic Organ Systems , Amer J Phys Med 37:184, 1958. 14. Hughes, D.E.: Ultrasonic Energy , Urbana, Ill, University of Illinois Press, 1965. 15. Hughes, D.E., and Chou, J.T.Y.: The Biochemistry of the Inner Ear and the Consequences of Treatment by Ultrasound , Acta Otolaryng , (suppl 192) , p 200, 1963. 16. Dohlman, G.F.: Secretion and Absorption of Endolymph , Ann Otol 73:708, 1964.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1966

References