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Vestibular nerve section

M J Fucci1, R T Sataloff, D L Myers

  • 1Department of Otolaryngology, Thomas Jefferson University, Philadelphia, PA.

American Journal of Otolaryngology
|May 1, 1994
PubMed
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Vestibular nerve section effectively controlled intractable vertigo in 94% of patients. This surgical procedure also improved tinnitus and ear fullness, demonstrating its safety and efficacy for disabling labyrinthine dysfunction.

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Vestibular System Disorders

Background:

  • Vestibular nerve section is a primary surgical option for intractable vertigo and labyrinthine dysfunction.
  • Evaluating the long-term efficacy of this procedure is crucial for patient management.

Purpose of the Study:

  • To retrospectively assess the effectiveness of vestibular nerve section in patients with disabling labyrinthine dysfunction.

Main Methods:

  • Retrospective review of 39 patients who underwent vestibular nerve section.
  • Subjective efficacy evaluation via comprehensive questionnaires.

Main Results:

  • 94% of patients reported reduced vertiginous attacks.
  • Improvements noted in preoperative tinnitus (53%) and ear fullness (65%).

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  • Complications included CSF leak, meningitis, and intracranial fluid collection.

    • Conclusions:

    • Vestibular nerve section is a safe and effective treatment for intractable vertigo.
    • The procedure offers significant symptom relief for labyrinthine dysfunction.