title: [Indications for operative therapy of vestibular vertigo and the associated success rates].
abstract: The indications for surgical treatment of labyrinthine vertigo associated with severe impairment and a lack of response to medication are heterogeneous. Due to different therapeutic goals and success parameters, the results of treatments can only be compared to a limited extent. This overview of the current literature and procedures performed by the author contains recommendations for indications and outlines the risks associated with operative therapy of vestibular vertigo. Results of function-preserving and ablative therapies are compared. Surgical treatment of Menière's syndrome (non-idiopathic) using tympanostomy tubes is indicated in cases of increased middle ear pressure; Meniere's disease (idiopathic) in its early stages can be treated with the endolymphatic shunt operation to preserve hearing and balance functions and where these techniques fail, with vestibular neurectomy for preservation of hearing or with cochleosacculotomy in the case of deafness. Rare indications are intractable benign paroxysmal positional vertigo and superior semicircular canal dehiscence syndrome (SCDS). The function preservation success rate in cases of Meniere's syndrome and disease is 70-88 %, ablative procedures are effective in > 90 % of cases and occlusion of the superior or posterior canals is successful in > 95 % of patients.
authors.affiliation: Klinik für Hals-Nasen-Ohren-Heilkunde und Plastische Kopf- und Halschirurgie, Universitätsklinikum Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland. mwesthofen@ukaachen.de
authors.forename: M
authors.initials: M
authors.lastname: Westhofen
mesh_terms: D015984:Causality; D015897:Comorbidity; D019317:Evidence-Based Medicine; D006801:Humans; D008575:Meniere Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000706:statistics & numerical data*; D015995:Prevalence; D016896:Treatment Outcome; D014717:Vertigo / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*