{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:29:12Z","timestamp":1761006552610,"version":"build-2065373602"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1987,1,1]],"date-time":"1987-01-01T00:00:00Z","timestamp":536457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1987,1]]},"abstract":"<jats:p>Although total excision is accepted as the standard of care in the treatment of acoustic neuromas, for the elderly patient this approach is modified. Small tumors which cause only eighth nerve symptoms of hearing loss and tinnitus can be followed radiologically while larger tumors with brain stem compression may be subtotally excised through the translabyrinthine route. Our standard treatment for Meniere's disease\u2014that is re\u2010factory to medical management\u2014has been vestibular nerve section through a retro\u2010labyrinthine approach. In the event of bilateral Meniere's disease or Meniere's disease in an only hearing ear, treatment with low\u2010dose intramuscular injections of streptomycin sulfate is preferred. Two elderly patients are discussed, each of whom has an acoustic neuroma in one ear and Meniere's disease in the other. These patients' histories, diagnostic evaluations, treatment rationale, and follow\u2010up data are presented to illustrate the decision\u2010making process and the management of complicated and unusual cases.<\/jats:p>","DOI":"10.1177\/019459988709600107","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T07:04:55Z","timestamp":1448435095000},"page":"39-42","source":"Crossref","is-referenced-by-count":4,"title":["The Treatment of Acoustic Neuroma and Meniere's Disease in the Same Patient"],"prefix":"10.1002","volume":"96","author":[{"given":"Alan B.","family":"McDaniel","sequence":"first","affiliation":[{"name":"Division of Otolaryngology Department of Surgery University of Louisville School of Medicine Louisville Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herbert","family":"Silverstein","sequence":"additional","affiliation":[{"name":"Ear Research Foundation Sarasota Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1987,1]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"129","article-title":"An operation for the total removal of cerebellopositive (acoustic) tumors","volume":"41","author":"Dandy WE.","year":"1925","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300607"},{"key":"e_1_2_1_4_1","first-page":"318","volume-title":"Neurological surgery of the ear and skull base","author":"Silverstein H.","year":"1979"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200114"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200217"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1947.02880250027007"},{"key":"e_1_2_1_8_1","first-page":"293","article-title":"Streptomycin treatment for vertigo","volume":"52","author":"Fowler HP.","year":"1948","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_1_9_1","first-page":"108","article-title":"Update on the use of streptomycin therapy for Meniere's disease","volume":"2","author":"Wilson WR","year":"1980","journal-title":"Am J Otol"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200218"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200413"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400312"},{"key":"e_1_2_1_13_1","first-page":"262","volume-title":"Neurological surgery of the ear","author":"Silverstein H.","year":"1979"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198507000-00002"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988709600107","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988709600107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:27:37Z","timestamp":1760952457000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988709600107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1987,1]]}},"alternative-id":["10.1177\/019459988709600107"],"URL":"https:\/\/doi.org\/10.1177\/019459988709600107","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1987,1]]}}}