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February 1973

Surgical Modalities

Arch Otolaryngol. 1973;97(2):129-132. doi:10.1001/archotol.1973.00780010135006

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Moderator Dr. Harold F. Schuknecht: There is more than one way to handle a patient with Meniere's disease. The procedures can be categorized into five groups: (1) selective ablation of the vestibular sense organ by ultrasound and cryosurgery; (2) section of the vestibular nerve by the middle and posterior fossa approaches; (3) procedures designed to prevent the overaccumulation of endolymph, the procedures on the endolymphatic sac and the tack operation; (4) procedures to alter control of the vascular system of the inner ear and to hopefully alter the fluid physiology in some way, and that is the ablation of the sympathetic nerve supply; and (5) labyrinthectomy, a destructive procedure to destroy the inner ear in its entirety.

Each method has its advocates who cling to their ideas with varying degrees of tenacity, pointing to its advantages over other methods, and yet generally failing to convince a large majority of his

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