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Surgery for Vertigo

  • Chapter
Ear Surgery

Abstract

• The cause of most recurrent vestibulopathies is viral. The syndromes known as vestibular neuronitis, Ménière’s disease, and benign paroxysmal positional vertigo account for the majority of these presentations. Others that do not fulfill the criteria for these three account for the remainder.

• These recurrent vestibulopathies are viral neuropathies caused by neurotropic viruses (e.g., Herpesviridae family).

• Initial treatment of these vestibulopathies is the use of antiviral agents orally or by intratympanic administration.

• Ablation therapy is used when the antiviral approach fails to control vertigo.

• Selective vestibular ablation of one ear may be accomplished by intratympanic gentamycin or selective vestibular nerve transaction.

• Selective bilateral vestibular ablation is best achieved by parenteral administration of streptomycin sulfate.

• Nonselective ablation of vestibular function is achieved by labyrinthectomy.

• Refractory benign paroxysmal positional vertigo (posterior canal) is relieved by singular neurectomy.

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© 2008 Springer-Verlag Berlin Heidelberg

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(2008). Surgery for Vertigo. In: Ear Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77412-9_10

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  • DOI: https://doi.org/10.1007/978-3-540-77412-9_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77411-2

  • Online ISBN: 978-3-540-77412-9

  • eBook Packages: MedicineMedicine (R0)

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