This is a review of the various surgical approaches to Meniere's disease to date. At present, endolymphatic sac surgery is used to improve labyrinthine function, and intratympanic gentamicin (GM) therapy to reduce this function. Also used are intracranial division of the vestibular portion of the auditory nerve, and labyrinthine destruction (i.e., labyrinthectomy).
In 1996, the Karolinska Hospital in Stockholm, based on its results, reported its policy the use of the following three surgical treatments for vertigo: (1) endolymphatic sac surgery; (2) intratympanic gentamicin (GM) therapy; and (3) intracranial division of the vestibular portion of the auditory nerve.
However, there has been no uniformity to date among the various ways to perform the surgery.