Operatively Treated Case of Morbus Otolithicus (Oto-Lith Extraction After Temporary Stapediolysis)

Abstract

In connection with a severe case of Ménière's disease, in which the pathological process, to judge from the pre-operative vestibular examination, was confined to the otoliths, an operation involving extirpation of the otoliths through the oval window after temporary stapediolysis was carried out. The significance of careful vestibular examination in order to localise the pathological process is stressed. Alcohol positional tests are suggested as a way of complementing (intensified positional test) the examination. The possibility that improved diagnostics combined with further developments in operative technique would lead to better results is pointed out.