{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T21:59:44Z","timestamp":1768082384559,"version":"3.49.0"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,4]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Between 1925 and 1945, Walter Dandy and Kenneth McKenzie performed more than 700 posterior fossa eighth nerve sections and vestibular neurectomies to treat the intractable vertigo accompanying M\u00e9ni\u00e8re's disease. During the past 10 years, with the aid of microsurgical techniques and the approach to the posterior fossa through the temporal bone, vestibular neurectomy has undergone a resurgence of popularity. When hearing is to be preserved, vestibular neurectomy is the surgical treatment of choice for patients who fail to undergo a remission of the vertigo attacks of M\u00e9ni\u00e8re's disease. This report reviews 115 consecutive vestibular neurectomies performed from 1978 to 1988 for the treatment of M\u00e9ni\u00e8re's disease.<\/jats:p>\n<jats:p content-type=\"fine-print\">In 1978, retrolabyrinthine vestibular neurectomy (RVN), a procedure in which the posterior fossa is entered anterior to the sigmoid sinus and behind the labyrinth, was introduced. During the last 3 years, the approach to the posterior fossa has been a small dural opening behind the sigmoid sinus; this approach is known as the combined retrolabyrinthine retrosigmoid approach. There have been no cases of facial paralysis and no serious complications connected with this technique. A high incidence of headache (50%) resulted when the posterior wall of the internal auditory canal was drilled away for better exposure. Transient cerebrospinal fluid (CSF) leaking occurred in 7% of the patients undergoing RVN; however, no CSF leaks occurred when the combined retrolabyrinthine retrosigmoid approach was used. In the RVN series, wound infection occurred in 20% of the cases until perioperative antibiotics reduced the rate to 3%. The results in terms of curing or improving vertigo have been excellent (94%), and hearing has been preserved to within 20 dB preoperative levels in 76% of the cases. Until a cure for M\u00e9ni\u00e8re's disease is found, microsurgical posterior fossa vestibular neurectomy remains the best treatment.<\/jats:p>","DOI":"10.3171\/jns.1990.72.4.0533","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T18:19:39Z","timestamp":1242238779000},"page":"533-539","source":"Crossref","is-referenced-by-count":40,"title":["The resurrection of vestibular neurectomy: a 10-year experience with 115 cases"],"prefix":"10.3171","volume":"72","author":[{"given":"Herbert","family":"Silverstein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horace","family":"Norrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth","family":"Rosenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.1001\/archsurg.1928.01140060002001","article-title":"M\u00e9ni\u00e8re's disease. Its diagnosis and a method of treatment.","volume":"16","author":"Dandy","year":"1928"},{"key":"b2","series-title":"Surg Gynecol Obstet","first-page":"524","article-title":"Intracranial division of the auditory nerve for persistent aural vertigo.","volume":"15","author":"Frazier","year":"1912"},{"key":"b3","series-title":"Clin Neurosurg","first-page":"141","article-title":"Surgical treatment of vertigo, with follow-up on Walter Dandy's cases. Neurologic aspects.","volume":"6","author":"Green","year":"1958"},{"key":"b4","series-title":"Arch Otolaryngol","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1001\/archotol.1972.00770090644004","article-title":"Trigeminal nerve (posterior root) retrolabyrinthine selective section.","volume":"96","author":"Hitselberger","year":"1972"},{"key":"b5","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":"b6","series-title":"Can Med Assoc J","first-page":"369","article-title":"Intracranial division of the vestibular portion of the auditory nerve for M\u00e9ni\u00e8re's disease.","volume":"34","author":"McKenzie","year":"1936"},{"key":"b7","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1177\/019459988409200213","article-title":"Cochlear and vestibular gross and histologic anatomy (as seen from the postauricular approach).","volume":"92","author":"Silverstein","year":"1984"},{"key":"b8","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"1777","DOI":"10.1002\/lary.5540861201","article-title":"Transmeatal labyrinthectomy with and without cochleovestibular neurectomy.","volume":"86","author":"Silverstein","year":"1976"},{"key":"b9","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1177\/019459988509300607","article-title":"Retrolabyrinthine vestibular neurectomy with simultaneous monitoring of eighth nerve and brain stem auditory evoked potentials.","volume":"93","author":"Silverstein","year":"1985"},{"key":"b10","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1177\/019459988008800425","article-title":"Retrolabyrinthine surgery \u2014 a direct approach to the cerebellopontine angle.","volume":"88","author":"Silverstein","year":"1980"},{"key":"b11","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1177\/019459988209000618","article-title":"Retrolabyrinthine vestibular neurectomy.","volume":"90","author":"Silverstein","year":"1982"},{"key":"b12","series-title":"Laryngoscope","first-page":"165","article-title":"A comparison of retrosigmoid IAC, retrolabyrinthine, and middle fossa vestibular neurectomy for treatment of vertigo.","volume":"97","author":"Silverstein","year":"1987"},{"key":"b13","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1177\/019459988609500504","article-title":"The unrecognized rotation of the vestibular and cochlear nerves from the labyrinth to the brainstem: its implications in surgery of the eighth cranial nerve.","volume":"95","author":"Silverstein","year":"1986"},{"key":"b14","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1177\/019459988709700309","article-title":"Retrosigmoid-internal auditory canal approach vs. retrolabyrinthine approach for vestibular neurectomy.","volume":"97","author":"Silverstein","year":"1987"},{"key":"b15","series-title":"Am J Otol","first-page":"166","article-title":"Combined retrolab-retrosigmoid vestibular neurectomy: an evolution in approach.","volume":"10","author":"Silverstein","year":"1989"},{"key":"b16","series-title":"Am J Otol","first-page":"414","article-title":"Retrolabyrinthine or retrosigmoid vestibular neurectomy: indications.","volume":"8","author":"Silverstein","year":"1987"},{"key":"b17","series-title":"Laryngoscope","first-page":"726","article-title":"Routine identification of the facial nerve using electrical stimulation during otological and neurotological surgery.","volume":"98","author":"Silverstein","year":"1988"},{"key":"b18","series-title":"Am J Otol","first-page":"269","article-title":"Routine intraoperative facial nerve monitoring during otologic surgery.","volume":"9","author":"Silverstein","year":"1988"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/72\/4\/article-p533.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/72\/4\/article-p533.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/72\/4\/article-p533.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T22:02:31Z","timestamp":1679868151000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/72\/4\/article-p533.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,4]]},"references-count":18,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/jns.1990.72.4.0533","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1990,4]]}}}