VESTIBULAR NEURECTOMY FOR PERIPHERAL VERTIGO PATIENTS (12 YEARS’ EXPERIENCE)

Gazi Üniversitesi Tıp Fakültesi, Kulak-Burun-Boğaz AD, Ankara, Türkiye Retrosigmoid retrolabyrinthine vestibular neurectomy (RSVN), is a safe surgical method for the treatment of selected peripheral vertigo patients. In our clinic, 218 patients with the diagnoses of Meniere’s disease and recurrent vestibulopathy underwent RSVN between 1991 and 2003. The pre and post-operative hearing levels and complaints of these patients were evaluated. In the post-operative period, 206 patients (94,4%) were totally free of vertigo, while 5 patients (2%) reported remarkable improvement. Hearing levels of 194 patients (89,4%) were same as the preoperative values, 11 patients (5%) revealed better hearing levels after the intervention. Complications encountered after the surgery were headache in 12 patients (5,5%) and cerebrospinal fluid leak in 5 patients (2,2%). Consequently, RSVN seems to be a good surgical option to treat vertigo surgically in selected cases. Keywords : Meniere’s disease, recurrent vestibulopathy, surgical treatment, retrosigmoid retrolabyrinthine vestibular neurectomy