Vestibular nerve section.
In the nearly 90 years since Frazier first performed an eighth nerve section through the posterior fossa for the treatment of Ménières's disease, the surgical management of Ménière's disease has come full circle. With refinements in surgical technique and advancements in instrumentation, optics, illumination, and neuromonitoring, a procedure that was once resoundingly condemned by the otologic community is now regarded as the procedure of choice in patients with serviceable hearing. The vestibular nerve section has experienced a renaissance. The posterior fossa vestibular nerve section has undergone an evolution, and the combined retrolabyrinthine-retrosigmoid vestibular nerve section represents the highest form. It is a significant improvement over its predecessors and our procedure of choice in properly selected patients.
University of South Florida School of Medicine, Tampa.
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Silverstein
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Willcox
D006801:Humans; D008575:Meniere Disease / Q000150:complications / Q000601:surgery; D008722:Methods; D011182:Postoperative Care; D011183:Postoperative Complications; D014717:Vertigo / Q000209:etiology / Q000601:surgery*; D014725:Vestibular Nerve / Q000601:surgery*