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April 1965


Author Affiliations

University of Kansas Medical Center Kansas City, Kan 66103

Arch Otolaryngol. 1965;81(4):435. doi:10.1001/archotol.1965.00750050446025

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To the Editor: The response to the provocative request by the Editor of the Archives of Otolaryngology for comments upon the Fick procedure has been both prompt and intriguing. At first blush the simplicity of the procedure carries a certain appeal. The unlikelihood of the formation of a permeable membrane on the stapedial footplate fenestra is balanced by the possibility of permanent decompression of the endolymphatic system through the saccular perforation into the periotic chamber.

Having performed the operation upon four patients with unilateral Meniere's disease, I submit herewith my humble results. All subjects had at least 65 db of sensorineural loss with discrimination scores of less than 60%. All had homolateral hypoactive or absent caloric response and complained of episodic vertigo of at least three years' duration. Two had tinnitus, and three complained of pressure in the involved ear. Recruitment was present in each instance.

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