Vertigo Treatment
Surgical Intervention
Meniere’s Disease
- Surgery is recommended if conservative and medical treatments have failed and the disease is severe
Endolymphatic duct/sac procedures and sacculotomy
- The procedure exposes the endolymphatic sac and duct with the aim of improving endolymph drainage
- Commonly done in Meniere’s disease patients with intact hearing
- Control of vertigo has been reported in 75-80% in an uncontrolled case series
- Low risk of sensorineural hearing loss
Vestibular nerve section or Vestibular neurectomy
- Vestibular nerve bundle is surgically lysed as it enters the internal auditory canal
- Relieves vertigo in 90-95% of patients
- Low risk of sensorineural hearing loss
Labyrinthectomy
- Neuroepithelium of the bony and membranous labyrinth is surgically removed, thus eliminating both balance and hearing function from the affected ear
- Due to the irreversible hearing loss, this procedure is reserved for patients with intractable symptoms despite pharmacotherapy, and with poor hearing or complete hearing loss on the affected side