Ménière's Disease - Surgery
Ménière's disease can cause permanent damage to your
hearing. Talk with your doctor about surgical options if repeated attempts at
less invasive treatment methods have failed to relieve your symptoms. Surgery
may be considered for people with Ménière's disease who:
- Have persistent or frequent attacks of severe
vertigo (a spinning sensation) that do not improve
after using medicine.
- Have symptoms that are so debilitating that
it becomes difficult to get through the events of daily life.
affected in only one ear.
Surgeries that may be used to treat Ménière's disease
Endolymphatic sac decompression, which
removes some of the bone surrounding the
inner ear .
Endolymphatic shunt, which inserts a
tube to drain excess fluid from the inner ear.
Vestibular nerve section, which cuts the nerve that controls hearing and balance
from the affected inner ear.
- Labyrinthectomy, which removes the
balance center of the inner ear (labyrinth). This nearly always stops vertigo
but also results in total hearing loss in that ear. It is most commonly used
for people who have already lost most of their hearing.
The goal of surgery is to eliminate the symptoms while
keeping as much hearing in the ear as possible. But the most extreme forms of
surgery (vestibular nerve section and labyrinthectomy) always result in
complete hearing loss in that ear. The possibility of losing your hearing in
the treated ear is a major consideration when you are deciding whether to have surgery
to treat Ménière's disease. In some cases, the disease may have already greatly
damaged your hearing, which makes the risk of being deaf in that ear less