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May 1975

Acousticofacial Anastomoses

Author Affiliations

Los Angeles

Arch Otolaryngol. 1975;101(5):335. doi:10.1001/archotol.1975.00780340067017

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To the Editor.—I very much enjoyed reading Chouard's article, "AcousticoFacial Anastomoses in Meniere Disorder."

I have discussed his work with him on several occasions over the past several years, and I feel he has made a major contribution to our knowledge of the anatomy of the internal auditory canal and the inner ear. The problem still remains of discovering exactly where these parasympathetic fibers go to the inner ear and their exact mechanism in the control of endolymph volume.

There seems to be increasing evidence that the removal of the vestibular nerve along with these acousticofacial anastomoses, or as I prefer to call them, vestibulofacial anastomoses, results in improvement in hearing in Meniere cases. However, I feel if the best results are to be obtained, the procedure must be done on those patients where serious permanent deterioration of the inner ear has not occurred due to chronic dilation of

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