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Related Experiment Videos

The Portmann procedure after sixty years.

M Portmann

    The American Journal of Otology
    |July 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    This study reviews the endolymphatic sac surgery for Meniere

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    Area of Science:

    • Otolaryngology
    • Neurosurgery
    • Nephrology

    Background:

    • The endolymphatic sac surgery, initially described by Portmann in 1926, is a historical treatment for Meniere's disease.
    • Indications and surgical techniques have evolved significantly since the original procedure.
    • Various modifications have been proposed by notable surgeons like Naito, House, Morrison, and Arenberg.

    Purpose of the Study:

    • To critically analyze the historical indications for endolymphatic sac opening.
    • To describe modifications to the original surgical technique.
    • To present current techniques and indications used in Bordeaux, emphasizing electrocochleography.

    Main Methods:

    • Historical review of the Portmann technique for endolymphatic sac opening.

    Related Experiment Videos

  • Analysis of modifications proposed by T. Naito, W. House, A.W. Morrison, and I.K. Arenberg.
  • Current evaluation of technique and indications in Bordeaux, including electrocochleography (ECoG) and glycerol dehydration test.

    • Main Results:

    • The original indication criteria from 1926 are critically assessed.
    • Modifications by various authors have refined the surgical approach.
    • Electrocochleography, particularly the summation potential response to glycerol, aids in case selection.

    Conclusions:

    • Modern electrocochleography improves patient selection for endolymphatic sac surgery.
    • Optimized case selection through advanced diagnostic techniques enhances treatment outcomes.
    • The evolution of surgical techniques and indications continues to refine Meniere's disease management.