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[Middle fossa vestibular neurectomy: postoperative complications]
J I de Diego Sastre1, E Melcón Díez, J Cabra Dueñas
1Servicio de ORL, Hospital La Paz, UAM, Madrid.
Acta Otorrinolaringologica Espanola
|March 1, 1995
Summary
Middle fossa vestibular neurectomy is a common treatment for Ménière's disease. Despite concerns about facial paralysis, a 29.3% complication rate in 198 cases suggests it remains an adequate surgical option.
Area of Science:
- Neurosurgery
- Otolaryngology
- Vestibular Disorders
Context:
- The middle fossa approach is a standard surgical technique for vestibular neurectomy.
- Ménière's disease management often involves surgical intervention.
- Previous studies have raised concerns regarding the complication profile of this approach, particularly facial nerve dysfunction.
Purpose:
- To evaluate the complication rate of middle fossa vestibular neurectomy.
- To assess the safety and efficacy of this surgical procedure for Ménière's disease.
Summary:
- A retrospective review of 198 middle fossa vestibular neurectomies performed between 1968 and 1992 was conducted.
- Complications analyzed included facial paralysis, infection, cerebrospinal fluid (CSF) leak, meningitis, hematoma, hearing loss, and mortality.
- The overall complication rate was determined to be 29.3%.
Impact:
- The study indicates that middle fossa vestibular neurectomy, despite potential complications, demonstrates an acceptable safety profile.
- These findings support the continued use of middle fossa vestibular neurectomy as a viable surgical treatment for Ménière's disease.
- Understanding complication rates is crucial for patient counseling and surgical decision-making.