{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:16:24Z","timestamp":1760984184628,"version":"3.38.0"},"reference-count":7,"publisher":"American Medical Association (AMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Otolaryngol"],"published-print":{"date-parts":[[1977,5,1]]},"abstract":"<jats:p>\u2022 Thirty-five patients with Meniere disease underwent endolymphatic sac decompression and drainage with a Silastic sac-mastoid shunt. On the basis of patients' responses to a questionnaire and on analysis of preoperative and postoperative audiometric studies, we found the method to be an effective means for conservation or improvement of hearing and for relief of vertigo in patients with positive glycerol tests.<\/jats:p><jats:p>Of the 35 patients, eight had negative glycerol tests and did not benefit from surgery (P &amp;amp;lt;.001). Of the 27 patients with positive glycerol tests, 70.4% (19) had no further vertigo, and 18.5% (5) had decreased frequency or severity of attacks (an overall relief of vertigo in 88.9%). Hearing was improved in 16 (59.2%) and stabilized in five (18.5%). Subjectively, 85.2% (23\/35) of the patients were satisfied with the hearing results of their operation.<\/jats:p><jats:p>(<jats:italic>Arch Otolaryngol<\/jats:italic> 103:268-270, 1977)<\/jats:p>","DOI":"10.1001\/archotol.1977.00780220062005","type":"journal-article","created":{"date-parts":[[2011,11,29]],"date-time":"2011-11-29T00:52:09Z","timestamp":1322527929000},"page":"268","source":"Crossref","is-referenced-by-count":25,"title":["Endolymphatic Sac Surgery for Hearing Conservation in Meniere Disease"],"prefix":"10.1001","volume":"103","author":[{"given":"I. Kaufman","family":"Arenberg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gershon J.","family":"Spector","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10","reference":[{"key":"R1","first-page":"1462","article-title":"Meniere's disease: Criteria for diagnosis and evaluation of therapy for reporting","volume":"76","author":"Alford","year":"1972","journal-title":"Trans Am Acad Ophthal Otolaryngol"},{"key":"R3","first-page":"709","article-title":"The salt loading provocation glycerol test for the early diagnosis of endolymphatic hydrops (Meniere's disease): A preliminary report","volume":"95","author":"Arenberg","year":"1974","journal-title":"Rev Laryngol"},{"key":"R4","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1288\/00005537-197402000-00005","article-title":"Perilymphatic fistula: An unusual cause of Meniere's syndrome in a prepubertal child","volume":"84","author":"Arenberg","year":"1974","journal-title":"Laryngoscope"},{"key":"R5","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1288\/00005537-197604000-00003","article-title":"Pre and post glycerol special audiometric test battery results in endolymphatic hydrops on Meniere's disease","volume":"86","author":"Swanson","year":"1976","journal-title":"Laryngoscope"},{"key":"R6","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1017\/S0022215100077240","article-title":"Long-term results of endolympatic subarachnoid shunt surgery in Meniere's disease","volume":"87","author":"House","year":"1973","journal-title":"J Laryngol Otol"},{"key":"R7","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1002\/lary.5540751007","article-title":"Subarachnoid shunt for drainage of hydrops: A report of 246 cases","volume":"70","author":"House","year":"1965","journal-title":"Laryngoscope"},{"article-title":"Salt loading glycerol test in fluctuant hearing loss","volume-title":"Proceedings of Shambaugh Fifth International Workshop of Middle Ear Disease","author":"Arenberg","key":"R2"}],"container-title":["Archives of Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamaotolaryngology\/articlepdf\/606752\/archotol_103_5_005_1741214651.57259.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T23:00:29Z","timestamp":1741215629000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamaotolaryngology\/fullarticle\/606752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1977,5,1]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1977,5,1]]}},"URL":"https:\/\/doi.org\/10.1001\/archotol.1977.00780220062005","relation":{},"ISSN":["0003-9977"],"issn-type":[{"type":"print","value":"0003-9977"}],"subject":[],"published":{"date-parts":[[1977,5,1]]}}}