Selective vestibular neurectomy through the posterior fossa in Ménière's disease.

The authors report on a series of 18 patients operated through the posterior fossa approach for selective vestibular neurectomy. The indication for surgery consisted of intractable vertigo in cases of Ménière's disease. Results were excellent with a 94% cure of vertigo and 100% improvement. Postoperative hearing results were good with 78% of patients maintaining their discrimination score and 94% their pure tone average threshold. The results and the advantages of this approach are discussed and compared with the known procedures as reported in the literature.