{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T23:03:37Z","timestamp":1793660617800,"version":"4.5.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1987,9,1]],"date-time":"1987-09-01T00:00:00Z","timestamp":557452800000},"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":[[1987,9]]},"abstract":"<jats:p>A new procedure, the retrosigmoid\u2010internal auditory canal (RSG\u2010IAC) vestibular neurectomy, has been developed, presented, and compared with the retrolabyrinthine vestibular neurectomy (RVN). The RSG\u2010IAC involves a 3 cm retrosigmoid craniotomy removal of the posterior wall of the internal auditory canal (IAC) to the singular canal, with transection of the superior vestibular nerve and the posterior ampullary nerve. This effects a complete denervation of the vestibular labyrinth and preserves the patient's hearing. All 11 patients with Meniere's disease were cured of vertigo. Hearing was preserved to within 10 dB of the preoperative pure\u2010tone average (PTA) in 9 of 11 cases. There were no serious complications and no cases of facial paralysis or total hearing loss. The major postoperative problem is persistent headache that necessitates medication. These results compare favorably with\u2014and may be better than those noted after\u2014the RVN procedure. The RSG\u2010IAC vestibular neurectomy is an important improvement in the evolution of vestibular neurectomy for the treatment of vertigo. A prospective study is now in progress to determine which procedure\u2014the RSG\u2010IAC or RVN\u2014best fulfills the goals of vestibular neurectomy.<\/jats:p>","DOI":"10.1177\/019459988709700309","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T07:06:49Z","timestamp":1448435209000},"page":"300-307","source":"Crossref","is-referenced-by-count":44,"title":["Retrosigmoid\u2010internal Auditory Canal Approach vs. Retrolabyrinthine Approach for Vestibular Neurectomy"],"prefix":"10.1002","volume":"97","author":[{"given":"Herbert","family":"Silverstein","sequence":"first","affiliation":[{"name":"Ear Research Foundation Sarasota Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horace","family":"Norrell","sequence":"additional","affiliation":[{"name":"Ear Research Foundation Sarasota Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric E.","family":"Smouha","sequence":"additional","affiliation":[{"name":"Ear Research Foundation Sarasota Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1987,9]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988008800425"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200217"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988209000618"},{"key":"e_1_2_1_5_1","first-page":"23","article-title":"Retrolabyrinthine vestibular neurectomy with and without monitoring of eighth nerve potentials","volume":"6","author":"McDaniel AB","year":"1985","journal-title":"Am J Otol"},{"key":"e_1_2_1_6_1","first-page":"552","article-title":"Retrolabyrinthine vestibular neurectomy with simultaneous monitoring of eighth nerve action potentials and electrocochleography","volume":"5","author":"Silverstein H","year":"1984","journal-title":"Am J Otol"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609500504"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198702000-00007"},{"key":"e_1_2_1_9_1","first-page":"318","volume-title":"Neurological surgery of the ear and skull base","author":"Silverstein H","year":"1979"},{"key":"e_1_2_1_10_1","first-page":"369","article-title":"Intracranial division of the vestibular portion of the auditory nerve for Meniere's disease","volume":"34","author":"McKenzie KG","year":"1936","journal-title":"J Am Med Assoc"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-193206000-00001"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890010405"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198407000-00002"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197309000-00004"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988709700309","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988709700309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:51:29Z","timestamp":1760968289000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988709700309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,9]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1987,9]]}},"alternative-id":["10.1177\/019459988709700309"],"URL":"https:\/\/doi.org\/10.1177\/019459988709700309","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1987,9]]}}}