Vertigo surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
For the majority of underlying causes of vertigo, the mainstay of treatment is medical therapy. Surgery is usually reserved for patients with either tumor associated vertigo, cholesteatoma, and/or when it does not respond to multiple medical therapies.
Surgery
- Surgery is not the first-line treatment option for patients withvertigo. Surgery is usually reserved for patients with:
- Ménière’s disease: Decompress endolymphatic sac, labyrinthectomy, Vestibular nerve section[1].
- Acoustic neuroma: For large, symptomatic, growing tumor one of the following treatment is helpful after weighing risks and benefits: Radiotherapy, radiosurgery or surgical removal.
- Benign paroxysmal positional vertigo: For resistant and severe cases occlusion of semi-circular canal may be helpful.
- Cholesteatoma: Surgical removal followed by periodic follow-ups.
- Otosclerosis: Surgical procedure of choice is stapedectomy.[2]
- Cerebellopontine angle tumors: Observation, radiotherapy, or microsurgery is selected as a plan of treatment after assessing the size/growth of the tumor, age of the patient, and comorbidities.[3]
References
- ↑ Syed, I.; Aldren, C. (2012). "Meniere's disease: an evidence based approach to assessment and management". International Journal of Clinical Practice. 66 (2): 166–170. doi:10.1111/j.1742-1241.2011.02842.x. ISSN 1368-5031.
- ↑ Mahafza T, Al-Layla A, Tawalbeh M, Abu-Yagoub Y, Atwan Sulaiman A (2013). "Surgical Treatment of Otosclerosis: Eight years' Experience at the Jordan University Hospital". Iran J Otorhinolaryngol. 25 (73): 233–8. PMC 3846245. PMID 24303446.
- ↑ Huang, May Y; Vermeulen, Sandra (2003). "Clinical perspectives regarding patients with internal auditory canal or cerebellopontine angle lesions: Surgical and radiation oncology perspectives". Seminars in Ultrasound, CT and MRI. 24 (3): 124–132. doi:10.1016/S0887-2171(03)90034-5. ISSN 0887-2171.