{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T07:52:10Z","timestamp":1721202730969},"reference-count":37,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2012,9]]},"abstract":"\nObject<\/jats:title>\nVestibular nerve sectioning is an accepted surgical treatment option for patients with medically refractory M\u00e9ni\u00e8re disease. In this paper the authors introduce and evaluate a 2-handed endoscopic-directed technique for vestibular nerve section.<\/jats:p><\/jats:sec>\n\nMethods<\/jats:title>\nEleven patients underwent a retrosigmoid craniectomy for endoscopic-directed vestibular nerve sectioning as treatment for intractable vertigo associated with M\u00e9ni\u00e8re disease. In all patients, identification and dissection of the cranial nerve VII\/VIII complex was performed entirely under endoscopic guidance. The authors used the specially designed Frazee II neuroendoscope, consisting of a traditional endoscope lens with a microsuction attachment.<\/jats:p><\/jats:sec>\n\nResults<\/jats:title>\nVestibular nerve sectioning was completed in all 11 patients. Postoperative improvement in vertiginous episodes was achieved in 10 patients (91%). Auditory function was noted to be worse postoperatively in only 1 patient (9%). The same patient also developed a House-Brackmann Grade III facial nerve palsy, which improved gradually over time. There were no further complications, including no delayed CSF leaks.<\/jats:p><\/jats:sec>\n\nConclusions<\/jats:title>\nThe endoscopic-directed approach represents a safe and effective method for performing vestibular nerve sectioning. Until now, the endoscope has been used primarily as an adjunct to the operating microscope in surgery at the cerebellopontine angle. In addition, previous endoscopic techniques typically require a third hand to manipulate the endoscope. With the 2-handed endoscopic-directed technique, however, the endoscope is used as the primary means of visualization, and the unique design of this endoscope allows for a bimanual procedure without the requirement of a cosurgeon. Advantages of using this technique compared with the microscope include superior brightness at close distances, greater depth of field, increased maneuverability within small regions, and an improved ability to visualize objects not in a direct line of sight. Among other things, this allows for minimally invasive openings, decreased cerebellar retraction, and better identification of nerve cleavage planes and vascular anatomy.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2012.6.jns111818","type":"journal-article","created":{"date-parts":[[2012,7,21]],"date-time":"2012-07-21T00:26:09Z","timestamp":1342830369000},"page":"507-513","source":"Crossref","is-referenced-by-count":8,"title":["Two-handed endoscopic-directed vestibular nerve sectioning: case series and review of the literature"],"prefix":"10.3171","volume":"117","author":[{"given":"Aaron R.","family":"Cutler","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean W.","family":"Kaloostian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, UC Irvine School of Medicine, Orange, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Ishiyama","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John G.","family":"Frazee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-jns111818","series-title":"Neurosurg Clin N Am","first-page":"1","article-title":"History of neuroendoscopy","volume":"15","author":"Abbott","year":"2004"},{"key":"b2-jns111818","series-title":"Ear Nose Throat J","first-page":"578","article-title":"Retrolabyrinthine vestibular nerve section: a current appraisal","volume":"76","author":"Aristegui","year":"1997"},{"key":"b3-jns111818","series-title":"Clin Otolaryngol Allied Sci","first-page":"219","article-title":"The effect of vestibular nerve section upon tinnitus","volume":"27","author":"Baguley","year":"2002"},{"key":"b4-jns111818","series-title":"Ear Nose Throat J","first-page":"652","article-title":"The role of vestibular nerve section in Meni\u00e8re's disease","volume":"76","author":"Brookes","year":"1997"},{"key":"b5-jns111818","series-title":"Otol Neurotol","first-page":"145","article-title":"Auditory results after vestibular nerve section and intratympanic gentamicin for M\u00e9ni\u00e8re's disease","volume":"28","author":"Colletti","year":"2007"},{"key":"b6-jns111818","series-title":"Otol Neurotol","first-page":"619","article-title":"Middle ear exploration in patients with M\u00e9ni\u00e8re's disease who have failed outpatient intratympanic gentamicin therapy","volume":"30","author":"Crane","year":"2009"},{"key":"b7-jns111818","series-title":"Otolaryngol Head Neck Surg","first-page":"541","article-title":"Surgical treatment for vertigo: patient survey of vertigo, imbalance, and time course for recovery","volume":"135","author":"De la Cruz","year":"2006"},{"key":"b8-jns111818","series-title":"Trans Am Acad Ophthalmol Otolaryngol","first-page":"ORL252","article-title":"Vestibular and cochlear neurectomy","volume":"78","author":"Fisch","year":"1974"},{"key":"b9-jns111818","series-title":"Am J Otol","first-page":"543","article-title":"Vestibular nerve section for M\u00e9ni\u00e8re's disease","volume":"5","author":"Fisch","year":"1984"},{"key":"b10-jns111818","series-title":"Am J Otolaryngol","first-page":"180","article-title":"Vestibular nerve section","volume":"15","author":"Fucci","year":"1994"},{"key":"b11-jns111818","series-title":"Arch Otolaryngol","first-page":"112","article-title":"Vestibular nerve section. Middle fossa and translabyrinthine","volume":"97","author":"Glasscock","year":"1973"},{"key":"b12-jns111818","series-title":"Otol Neurotol","first-page":"481","article-title":"Combined retrosigmoid retrolabyrinthine vestibular nerve section: results of our experience over 10 years","volume":"26","author":"Goksu","year":"2005"},{"key":"b13-jns111818","series-title":"Laryngoscope","first-page":"1363","article-title":"Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa","volume":"71","author":"House","year":"1961"},{"key":"b14-jns111818","series-title":"Am J Otol","first-page":"412","article-title":"Comparison of postoperative headache after retrosigmoid approach: vestibular nerve section versus vestibular schwannoma resection","volume":"21","author":"Jackson","year":"2000"},{"key":"b15-jns111818","series-title":"Neurosurgery","first-page":"108","article-title":"Adjunctive use of endoscopy during posterior fossa surgery to treat cranial neuropathies","volume":"49","author":"King","year":"2001"},{"key":"b16-jns111818","series-title":"Acta Neurochir (Wien)","first-page":"655","article-title":"Evaluation of retrosigmoid vestibular neurectomy for intractable vertigo in M\u00e9ni\u00e8re's disease: an interdisciplinary review","volume":"150","author":"Li","year":"2008"},{"key":"b17-jns111818","series-title":"Am J Otol","first-page":"253","article-title":"Vestibular neurectomy: retrosigmoid-intracanalicular versus retrolabyrinthine approach","volume":"17","author":"McKenna","year":"1996"},{"key":"b18-jns111818","series-title":"Am J Otol","first-page":"330","article-title":"Retrosigmoid intracanalicular vestibular nerve section: an alternative surgical approach for Meni\u00e8re's disease","volume":"7","author":"Millen","year":"1986"},{"key":"b19-jns111818","series-title":"Laryngoscope","first-page":"1612","article-title":"Neuro-otologic surgery through minimally invasive retrosigmoid approach: endoscope assisted microvascular decompression, vestibular neurotomy, and tumor removal","volume":"115","author":"Miyazaki","year":"2005"},{"key":"b20-jns111818","series-title":"Otol Neurotol","first-page":"453","article-title":"Hearing outcome after concurrent endolymphatic shunt and vestibular nerve section","volume":"24","author":"Moody-Antonio","year":"2003"},{"key":"b21-jns111818","series-title":"Skull Base","first-page":"371","article-title":"The keyhole retrosigmoid approach to the cerebello-pontine angle: indications, technical modifications, and results","volume":"18","author":"Mostafa","year":"2008"},{"key":"b22-jns111818","series-title":"Am J Otol","first-page":"328","article-title":"Retrolabyrinthine vestibular nerve section: evaluation of technical modification in 143 cases","volume":"13","author":"Nguyen","year":"1992"},{"key":"b23-jns111818","series-title":"Skull Base Surg","first-page":"215","article-title":"Video endoscopy-assisted vestibular neurectomy: a new approach to the eighth cranial nerve","volume":"6","author":"Ozluoglu","year":"1996"},{"key":"b24-jns111818","series-title":"Laryngoscope","first-page":"1203","article-title":"Vestibular nerve section: long-term follow-up","volume":"107","author":"Pappas","year":"1997"},{"key":"b25-jns111818","series-title":"Acta Neurochir (Wien)","first-page":"401","article-title":"Retrosigmoid approach for vestibular neurectomy in M\u00e9ni\u00e8re's disease","volume":"147","author":"Perez","year":"2005"},{"key":"b26-jns111818","series-title":"Neurosurgery","first-page":"219","article-title":"Endoscope-assisted brain surgery: part 1\u2014evolution, basic concept, and current technique","volume":"42","author":"Perneczky","year":"1998"},{"key":"b27-jns111818","series-title":"Lancet","first-page":"406","article-title":"M\u00e9ni\u00e8re's disease","volume":"372","author":"Sajjadi","year":"2008"},{"key":"b28-jns111818","series-title":"Otolaryngol Head Neck Surg","first-page":"537","article-title":"Intratympanic dexamethasone, 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surgery","volume":"64","author":"Tabaee","year":"2009"},{"key":"b33-jns111818","series-title":"J Laryngol Otol","first-page":"1150","article-title":"Long-term results of vestibular nerve section","volume":"112","author":"Tewary","year":"1998"},{"key":"b34-jns111818","series-title":"Ear Nose Throat J","first-page":"290","article-title":"Analysis of patients with persistent dizziness after vestibular nerve section","volume":"77","author":"Thedinger","year":"1998"},{"key":"b35-jns111818","series-title":"Auris Nasus Larynx","first-page":"297","article-title":"Vestibular neurectomy","volume":"27","author":"Thomsen","year":"2000"},{"key":"b36-jns111818","series-title":"Otolaryngol Clin North Am","first-page":"297","article-title":"Endoscopy in neuro-otologic surgery","volume":"35","author":"Wackym","year":"2002"},{"key":"b37-jns111818","series-title":"World Neurosurg","first-page":"92","article-title":"\u201cThrough the looking glass:\u201d optical physics, issues, and the evolution of 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