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April 1965


Author Affiliations

ENT Department of the University of Padua Padua, Italy

Arch Otolaryngol. 1965;81(4):435-437. doi:10.1001/archotol.1965.00750050446026

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To the Editor: I performed the operation described by Fick in six cases. I applied the technical details recommended by him, that is, not to create a fenestra in the footplate, because there is the possibility of not being able to perforate the endolymphatic sac, as it collapses against the medial wall of "the labyrinth" (Arch Otolaryng 19:449, 1964), but to perforate "through the footplate approximately 2 mm deep," and in this way puncture the saccule, whose hydropic dilatation has brought it much nearer to the medial wall of the footplate than in the normal subject. What I did not conform to the Fick technique was the "suction of fluid from the labyrinth" because I feared I might provoke too much brisk and irreversible collapse of the endolymphatic walls.

In all the six cases I operated on, a very severe impairment of hearing occurred 10-12 hours after the operation. Vertigo

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