手術的立場から

THE SURGICAL TREATMENT OF VERTIGO

　Ⅰ．緒言

　一過性の極く軽いのものから，仲々治癒し難い頑固のものまでを含めて，めまいには色々の種類程度があり，眩暈症の治療法を一概に統一規定することは困難である。筆者は東北大学耳鼻咽喉科に於ける眩暈患者め治療成績をもとに，手術的立場より，主として耳性発作性眩暈症の治療について，述べて見たいと思う。

　筆者はこれまで十数年間，眩暈患者の診療に主力を注いで来たが，その治療効果を左右する条件としては，次の三つの事項が最も重要であると考えている。即ち

Case histories in the Otolaryngological De-partment of the Tohoku University MedicalSchool particularly on aural vertigo in which the patients were treated by surgical proce-dures are reviewed. The author emphasizes the necessity of making a correct diagnosis with a full sympathy of the doctor and the patient.

The treatment may call for tonsillectomies, dental cares, stripping of the external lining of the cervical artery or Rosen's resection of corda tympani nerve, in order to exclude any cause by which autonomic nerve functions of the inner ear may be disturbed. For en-dolymphatic hydrops Portmann's operation of release of endolymphatic pressure has proved to be highly effective.