Long-term follow-up after middle fossa vestibular neurectomy for Ménière's disease.

Thirty-seven patients operated on by total vestibular neurectomy for Ménière's disease underwent follow-up examination for at least 5 years. Vertigo has been controlled in all the patients excepting one who developed Ménière's disease in the opposite ear. Three patients had a total hearing loss. Overall results in this study are comparable to those of other series in the literature. Vestibular neurectomy has been confirmed to be an effective procedure for relieving vertigo in intractable Ménière's disease with a success rate of 90-100% while preserving hearing in most of the patients. The results of vestibular neurectomy are far better than those obtainable with endolymphatic sac surgery.