Non-ablative surgical therapies for peripheral vertigo

Peripheral vestibular vertigo requires surgical management in 10 to 20 % of patients, who present persistent symptoms despite conservative treatment. The main indications include Ménière's disease, superior semicircular canal dehiscence, benign paroxysmal positional vertigo, and perilymphatic fistulas. Non-ablative interventions aim to control vertigo while preserving inner ear function....

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Audiologists co-managing refractory vestibular patients should be aware of the non-ablative surgical options reviewed here to support informed referral discussions, but this review does not alter audiologic management protocols directly.

For the 10–20% of peripheral vestibular patients who fail conservative treatment, understanding the non-ablative surgical landscape helps multidisciplinary teams offer comprehensive, tissue-preserving options before resorting to destructive procedures.

1. 01Approximately 10–20% of patients with peripheral vertigo (e.g., Meniere's disease) do not respond adequately to conservative treatment.
2. 02Non-ablative surgeries preserve inner ear tissue and function, distinguishing them from destructive (ablative) procedures.
3. 03Indications, technique options, and patient selection criteria are reviewed.
4. 04The review covers Meniere's disease as the primary indication for non-ablative surgical intervention.
5. 05Published in Revue Médicale Suisse (Swiss Medical Review).

PMID

42817531

DOI

10.53738/REVMED.2026.22.977.49212.

Journal

Revue Médicale Suisse

Publication type

review

Evidence level

5

Population

Patients with peripheral vestibular vertigo, primarily Meniere's disease, refractory to conservative treatment

Intervention

Non-ablative surgical therapies for peripheral vestibular vertigo