Trauma of the Tympanic Membrane and Ossicles
Trauma of the Tympanic Membrane and Ossicles Herbert Silverstein Injury to the tympanic membrane and ossicles may occur in many ways, including a blast injury, slap to the auricle, slagburn,…
Superior Semicircular Canal Dehiscence Syndrome
Superior Semicircular Canal Dehiscence Syndrome Michael J. McKenna Mitchell J. Ramsey Only a fraction of patients who present with vestibular complaints will ultimately be diagnosed with a clear pathologic condition…
Surgery for Vertigo: Chemical Labyrinthectomy
Surgery for Vertigo: Chemical Labyrinthectomy Steven D. Rauch The vertigo of unilateral Meniere’s disease is controllable by conservative, medical means in 90% to 95% of patients. The remaining 5% to…
Surgical Treatment for Benign Paroxysmal Positional Vertigo
Surgical Treatment for Benign Paroxysmal Positional Vertigo Richard R. Gacek Mark R. Gacek Michael J. McKenna Benign paroxysmal positional vertigo (BPPV) is a disorder of the peripheral vestibular end organ…
Neurectomy Procedures for Vertigo
Neurectomy Procedures for Vertigo Herbert Silverstein When medical management of patients with Meniere’s disease fails, vestibular neurectomy is among the procedures of choice if hearing is to be preserved. The…
Shunt Procedures
Shunt Procedures Harold F. Schuknecht Michael J. McKenna EXTERNAL ENDOLYMPHATIC SHUNT The external endolymphatic shunt operation purports to alleviate the vertiginous symptoms of Meniere’s disease by preventing the accumulation of…
Labyrinthectomy
Labyrinthectomy Joseph B. Nadol, Jr. Michael J. McKenna Unilateral surgical vestibular ablation is an effective treatment for unilateral peripheral vestibular dysfunction in the presence of ipsilateral severe profound sensorineural hearing…
Cochlear Implantation and Implantable Hearing Aids
Cochlear Implantation and Implantable Hearing Aids Joseph B. Nadol, Jr. Since early attempts at experimental electrical stimulation of the auditory nerve in deaf patients (1, 2, 3), there have been…
Congenital Cholesteatoma
Congenital Cholesteatoma Trevor J. McGill Reza Rahbar Congenital cholesteatoma of the middle ear is a rare clinical entity that classically presents as a white mass in the anterior superior quadrant…
Surgery for Sensorineural Hearing Loss: Perilymph Fistula
Surgery for Sensorineural Hearing Loss: Perilymph Fistula Steven D. Rauch Simply put, perilymphatic fistula is an abnormal communication between the perilymphatic space of the inner ear and the pneumatized space…
