[Non-ablative surgical therapies for peripheral vertigo]

Peripheral vestibular vertigo requires surgical management in 10 to 20 % of patients, who present persistent symptoms despite conservative treatment. The main indications include Ménière's disease, superior semicircular canal dehiscence, benign paroxysmal positional vertigo, and perilymphatic fistulas. Non-ablative interventions aim to control vertigo while preserving inner ear function. They include endolymphatic sac surgery, semicircular canal occlusion, and perilymphatic fistula repair.