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Die chirurgische Behandlung von Gleichgewichtsstörungen

  • Chapter
Schwindel

Part of the book series: HNO Praxis heute ((HNO,volume 27))

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Während sich in der Mitte des vorigen Jahrhunderts die hörverbessernden chirurgischen Verfahren zügig entwickelt haben, kamen die chirurgischen Eingriffe am Gleichgewichtssystem erst mit einer etwa 10-jährigen Pause Anfang der 60er-Jahre im größeren Umfang in den weltweiten klinischen Alltagseinsatz [38]. Von Pioniertaten und einzelnen Zentren abgesehen (z. B. Eröffnung des Endolymphsacks durch George Portmann 1926 [40]), hat durch die Verfeinerung der mikrochirugischen Techniken [19] und des dazu erforderlichen Instrumentariums bzw. intraoperativer Monitoringtechniken [5, 38], durch die verbesserte Bildgebung (CT, MRT, MR-Angiografie, [2, 15]) und die wissenschaftliche Aufdeckung verschiedener pathophysiologischer Grundlagen von Gleichgewichtsstörungen (isolierte Otolithenfunktionsstörungen, Erkrankungen einzelner Anteile des 8. Hirnnerven [16, 17, 40, 47]) erst relativ spät eine, dann vergleichsweise stürmische Entwicklung eingesetzt, deren Ende heute noch nicht abzusehen ist [10, 25].

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  1. Klinik für HNO-Heilkunde, Unfallkrankenhaus Berlin, Warener Straße 7, 12683, Berlin

    Prof. Dr. med. A. Ernst

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  1. Maxplatz 5, 83278, Traunstein

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  2. Universitäts-HNO-Klinik, Waldstraße 1, 91054, Erlangen

    Heinrich Iro

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Ernst, A. (2007). Die chirurgische Behandlung von Gleichgewichtsstörungen. In: Biesinger, E., Iro, H. (eds) Schwindel. HNO Praxis heute, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-47448-7_7

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  • DOI: https://doi.org/10.1007/978-3-540-47448-7_7

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