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Surgical treatment of vertigo with retrolabyrinthine vestibular neurectomy
Author(s) -
Monsell Edwin M.,
Wiet Richard J.,
Young Nancy M.,
Kazan Robert P.
Publication year - 1988
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198808000-00009
Subject(s) - vertigo , medicine , surgery , neurectomy , middle fossa , endolymphatic sac , vestibular nerve , vestibular system , meniere disease , meniere's disease , posterior fossa , audiology , inner ear , radiology , alternative medicine , pathology
Results for control of vertigo and preservation of hearing in patients who have had a retrolabyrinthine vestibular neurectomy (RVN) by our group were analyzed retrospectively. This procedure consists of selective section of the vestibular nerve in the posterior cranial fossa. Vertigo was completely controlled in all but two of 31 patients, one of whom required revision surgery to control attacks. Analysis of these two cases suggests that the cause of persistent vertigo is incomplete neurectomy. With our current surgical technique in patients with Meniere's disease, hearing results were not statistically different from our results with surgery of the endolymphatic sac. Control of vertigo was much more successful with the RVN than endolymphatic sac surgery.