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Combined retrolab-retrosigmoid vestibular neurectomy. An evolution in approach.
Am J Otol. 1989 May; 10(3):166-9.AJ

Abstract

Since introducing the retrolabyrinthine vestibular neurectomy (RVN) in 1978, we have performed 78 procedures with good results. In 1985, we introduced the retrosigmoid-internal auditory canal vestibular neurectomy (RSG-IAC), which allowed a more complete transection of the vestibular nerves in the IAC. Vertigo control has been excellent. However, in 50% of cases postoperative headaches have been a significant problem. In 1987, we combined these two approaches into one procedure, the combined retrolab-retrosigmoid vestibular neurectomy (RSG-RVN). The procedure is similar to a RVN, in that all bone covering the lateral venous sinus (LVS) is removed. It differs from the RVN in that the dura is opened just behind the LVS. The LVS is retracted forward, thereby exposing the cerebellopontine (CP) angle. This allows the surgeon the option to sever the vestibular nerve either in the CP angle or in the IAC, depending on the presence or absence of a cochleovestibular (CV) cleavage plane in the CP angle. The technique, results, and complications will be reported in this article.

Authors+Show Affiliations

Ear Research Foundation, Sarasota, Florida 34239.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2787602

Citation

Silverstein, H, et al. "Combined Retrolab-retrosigmoid Vestibular Neurectomy. an Evolution in Approach." The American Journal of Otology, vol. 10, no. 3, 1989, pp. 166-9.
Silverstein H, Norrell H, Smouha E, et al. Combined retrolab-retrosigmoid vestibular neurectomy. An evolution in approach. Am J Otol. 1989;10(3):166-9.
Silverstein, H., Norrell, H., Smouha, E., & Jones, R. (1989). Combined retrolab-retrosigmoid vestibular neurectomy. An evolution in approach. The American Journal of Otology, 10(3), 166-9.
Silverstein H, et al. Combined Retrolab-retrosigmoid Vestibular Neurectomy. an Evolution in Approach. Am J Otol. 1989;10(3):166-9. PubMed PMID: 2787602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined retrolab-retrosigmoid vestibular neurectomy. An evolution in approach. AU - Silverstein,H, AU - Norrell,H, AU - Smouha,E, AU - Jones,R, PY - 1989/5/1/pubmed PY - 1989/5/1/medline PY - 1989/5/1/entrez SP - 166 EP - 9 JF - The American journal of otology JO - Am J Otol VL - 10 IS - 3 N2 - Since introducing the retrolabyrinthine vestibular neurectomy (RVN) in 1978, we have performed 78 procedures with good results. In 1985, we introduced the retrosigmoid-internal auditory canal vestibular neurectomy (RSG-IAC), which allowed a more complete transection of the vestibular nerves in the IAC. Vertigo control has been excellent. However, in 50% of cases postoperative headaches have been a significant problem. In 1987, we combined these two approaches into one procedure, the combined retrolab-retrosigmoid vestibular neurectomy (RSG-RVN). The procedure is similar to a RVN, in that all bone covering the lateral venous sinus (LVS) is removed. It differs from the RVN in that the dura is opened just behind the LVS. The LVS is retracted forward, thereby exposing the cerebellopontine (CP) angle. This allows the surgeon the option to sever the vestibular nerve either in the CP angle or in the IAC, depending on the presence or absence of a cochleovestibular (CV) cleavage plane in the CP angle. The technique, results, and complications will be reported in this article. SN - 0192-9763 UR - https://www.unboundmedicine.com/medline/citation/2787602/Combined_retrolab_retrosigmoid_vestibular_neurectomy__An_evolution_in_approach_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=2787602.ui DB - PRIME DP - Unbound Medicine ER -