Abstract
Finding the correct surgical approach for the vertiginous patient continues to be a challenge. At the Western Section Meeting of the Triological Society, Carol A. Bowman, MD, and Charles A. Mangham, Jr, MD, of the Virginia Mason Clinic, Seattle, reviewed their experience with the retrolabyrinthine vestibular nerve section. It was pointed out that even though the control rate for vertigo is reportedly high with this procedure, many patients still have postsurgical vestibular symptoms. Bowman and Mangham reviewed 36 cases and reported control of the rotatory vertigo in 94% of the patients involved. In questioning their patients, they found that the majority continued to have symptoms of vestibular disturbance and balance disturbance even though the rotatory vertigo was controlled. In spite of the limitations of the procedure, the authors still feel that it is efficacious for the vertiginous patient.—James L. Parkin, MD, MS, Salt Lake City
Published Version
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