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Long-term results of vestibular nerve section.

A K Tewary1, N Riley, A G Kerr

  • 1Department of Otolaryngology, Royal Victoria Hospital, Belfast, UK.

The Journal of Laryngology and Otology
|April 21, 1999
PubMed
Summary
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Vestibular nerve section effectively controls vertigo in most patients. However, long-term hearing significantly deteriorates, especially in those with initially good hearing, and carries risks of facial nerve issues.

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Audiology

Background:

  • Vestibular nerve section is a surgical treatment for severe vertigo.
  • Long-term outcomes, particularly regarding hearing and potential complications, require thorough investigation.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of vestibular nerve section.
  • To assess the impact of vestibular nerve section on hearing and tinnitus over time.

Main Methods:

  • Retrospective analysis of 27 patients undergoing vestibular nerve section (1975-1987).
  • Long-term follow-up (10-22 years) assessing vertigo control, hearing thresholds, tinnitus, and facial nerve function.

Main Results:

  • Episodic vertigo was controlled in 26 of 27 patients.

Related Experiment Videos

  • Significant hearing deterioration observed over 20 years, averaging a 29 dB loss.
  • Hearing loss was more pronounced in patients with better pre-operative hearing.
  • Tinnitus worsened in some patients; facial nerve complications occurred in two patients.

    • Conclusions:

    • Vestibular nerve section provides excellent long-term vertigo control.
    • Progressive hearing loss is a significant long-term consequence, necessitating careful patient selection and counseling.
    • Potential for contralateral ear involvement and facial nerve injury should be considered.