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January 1969

Surgery for Hydrops

Arch Otolaryngol. 1969;89(1):115-121. doi:10.1001/archotol.1969.00770020117021

I WISH to thank Dr. Shambaugh for his kind invitation to participate in this symposium as well as for the instruction received from him in 1947 in the fenestration operation which was the beginning of my work on reconstructive microsurgery of the ear.

My experiences with surgery for Meniere's disease began in 1948 with removal of the membranous horizontal semicircular canal according to Sir Terence Cawthorne's technique. Between that date and 1965, I performed a total of 479 operations for Meniere's disease, 343 of them destructive, and 136 were an attempt to preserve cochlear function. Table 1 shows the various techniques which I have utilized.

In commenting on the results with these various techniques, vertigo was relieved in 97% of the cases with Cawthorne's type I and type II labyrinthectomy. Similar results in the relief of vertigo were achieved by the oval window operations of Cawthorne, Schuknecht, and Antoli-Candela.


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