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August 1959

Effect of Conventional Fenestration on Ménière's Disease: Consideration of Some Other Operative Methods

AMA Arch Otolaryngol. 1959;70(2):169-184. doi:10.1001/archotol.1959.00730040175004

The literature on Ménière's disease has swelled to the extent that not even the most remarkable papers can be reported in a short article. A very complete list is found in Altmann's exhaustive review (1955), which deals with the relevant problems and considers them from every conceivable angle. Therefore, only a few reports that have since been published will be mentioned here.

At present the general conception of the pathology of the disease is in agreement with the opinion of Hallpike and his collaborators, who contend that increased pressure within the membranous labyrinth is the characteristic feature. However, the etiology and the pathogenesis are still obscure. From some experiments and observations a conclusion has been drawn according to which a spasm of the arterioles in the internal ear would cause edema. This must also influence the endolymphatic and perhaps also the perilymphatic secretion, producing a disturbance in this function. A