18,19] When intense attacks are frequent, more invasive procedures such as instillation of gentamicin or steroids via intratympanic injection or a grommet may be considered or, very rarely, vestibular nerve section
Another procedure, vestibular nerve section
, involves cutting the vestibular nerve that connects balance and movement sensors in the inner ear to the brain.
Vestibular nerve section versus intratympanic gentamicin for Meniere's disease.
The specific procedures included 6 vestibular nerve sections, 4 transcanal labyrinthectomies, and 2 transmastoid labyrinthectomies.
Cass et al evaluated 24 patients who underwent posterior fossa vestibular nerve section for intractable vertigo caused by Meniere's disease, benign paroxysmal positional vertigo, vestibular neuritis, or perilymph fistula.
Clinical assessment of postural stability following vestibular nerve section.
Instead, she underwent a middle fossa vestibular nerve section
But for patients who still maintain functional hearing, vestibular nerve section, endolymphatic sac surgery, and intratympanic aminoglycoside therapy should be considered.
Vestibular nerve section is the most successful method of curing vertigo while preserving hearing in patients with Meniere's disease.
The chances of achieving long-term vertigo control are greater with vestibular nerve section
than with ELS surgery.
Ablative procedures include labyrinthectomy, vestibular nerve section
, streptomycin perfusion of the labyrinth, and gentamicin or streptomycin instillation into the middle ear.
It encompasses procedures in the posterior fossa, such as acoustic neuromas, meningiomas, epidermoid tumors, vestibular nerve sections
, and diseases of the petrous apex.