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April 1966

Surgical Dilemma in Meniere's Disease

Author Affiliations

From Northwestern University, Chicago.

Arch Otolaryngol. 1966;83(4):320-323. doi:10.1001/archotol.1966.00760020322005

THE REVIVAL of interest in surgical procedures to relieve the symptoms and improve the hearing in Meniere's disease is reminiscent of the state of flux that existed in stapes surgery almost a decade ago. No doubt another decade will be required to clarify the present controversy in Meniere's disease.

The multitude of procedures that exist today which propose to control vertigo and preserve hearing is in itself an indicator of their present status. I doubt that there is a responsible otologist who believes that the final solution has evolved for the Meniere's patient with hearing worth preserving. We will indeed be fortunate if at least one of today's stellar performers withstands the test of time and avoids the surgical oblivion of so many predecessors. One has but to think back to the all but forgotten destruction of the vestibular labyrinth with alcohol injections into the oval window1 or semicircular