Surgical treatment of vertigo with retrolabyrinthine vestibular neurectomy

Edwin M. Monsell*, Richard J. Wiet, Nancy M. Young, Robert P. Kazan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Results for control of vertigo and preservation of hearing in patients who have had a retrolabyrinthine vestibular neurectomy (RVN) by our group were analyzed retrospectively. This procedure consists of selective section of the vestibular nerve in the posterior cranial fossa. Vertigo was completely controlled in all but two of 31 patients, one of whom required revision surgery to control attacks. Analysis of these two cases suggests that the cause of persistent vertigo is incomplete neurectomy. With our current surgical technique in patients with Meniere’s disease, hearing results were not statistically different from our results with surgery of the endolymphatic sac. Control of vertigo was much more successful with the RVN than endolymphatic sac surgery.

Original languageEnglish (US)
Pages (from-to)835-839
Number of pages5
Issue number8
StatePublished - Aug 1988

ASJC Scopus subject areas

  • Otorhinolaryngology


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