{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:43:03Z","timestamp":1761007383863,"version":"build-2065373602"},"reference-count":4,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,12,11]],"date-time":"2016-12-11T00:00:00Z","timestamp":1481414400000},"content-version":"vor","delay-in-days":12002,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1984,2]]},"abstract":"<jats:p>Schuknecht introduced the cochleosacculotomy procedure in 1982. This procedure has an advantage in that it can be done with a local anesthesic. The idea is to create a permanent fistula between the endolymph and perilymph. The fistula is created by introducing a 3\u00a0mm right\u2010angle pick through the round\u2010window membrane, thus rupturing the cochlear duct and osseous spiral lamina. The procedure is safe and rapid, with minimal postoperative morbidity. Its success rate in curing vertigo was 70% during a 6\u2010month follow\u2010up period. The main drawback is that the surgeon cannot visualize the area of the fistula. One week after the procedure, 8 of 14 patients had a sensorineural hearing loss of greater than 15\u00a0dB (pure\u2010tone average [PTA]), and 11 of 14 had a loss of speech discrimination greater than 15%. In the next 1 to 3\u00a0months postoperatively, hearing generally improved, so that 3 of 10 had a 15\u00a0dB (PTA) loss and 8 of 10 had a loss of speech discrimination greater than 15%. At this time follow\u2010up has been too short to determine long\u2010term effects and results. Early results, however, indicate that this procedure may have value in selected patients with Meniere's disease when hearing preservation is not of great concern.<\/jats:p>","DOI":"10.1177\/019459988409200114","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T15:13:52Z","timestamp":1483629232000},"page":"63-66","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cochleosacculotomy"],"prefix":"10.1002","volume":"92","author":[{"given":"Herbert","family":"Silverstein","sequence":"first","affiliation":[{"name":"Ear Research Foundation of Florida Sarasota Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Hyman","sequence":"additional","affiliation":[{"name":"Ear Research Foundation of Florida Sarasota Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Silverstein","sequence":"additional","affiliation":[{"name":"Ear Research Foundation of Florida Sarasota Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,11]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_1_2_1","DOI":"10.1288\/00005537-198208000-00004"},{"doi-asserted-by":"publisher","key":"e_1_2_1_3_1","DOI":"10.1177\/000348946307200308"},{"doi-asserted-by":"publisher","key":"e_1_2_1_4_1","DOI":"10.1001\/archotol.1964.00750030458005"},{"doi-asserted-by":"publisher","key":"e_1_2_1_5_1","DOI":"10.1017\/S0022215100065245"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988409200114","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988409200114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:02:47Z","timestamp":1760965367000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988409200114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,2]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1984,2]]}},"alternative-id":["10.1177\/019459988409200114"],"URL":"https:\/\/doi.org\/10.1177\/019459988409200114","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1984,2]]},"assertion":[{"value":"1983-04-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}