Conservative medical management is the mainstay of vertigo treatment. Surgery is reserved for those cases where there is evidence of inner ear disorder, when medical therapy fails and when the patient demands definitive therapy (Silverstein, 1981). Over the years, several surgical options have evolved from endolymphatic sac surgery, labyrinthectomy to vestibular neurectomy to singular neurectomy and now vestibular implants.
Vertiginous disorders which can be cured surgically include Ménière’s disease, benign positional vertigo, vestibular neuronitis and chronic labyrinthitis. This article discusses the various surgical options for the treatment of disabling medically intractable vertigo.
