Gazi University Faculty of Medicine Department of ORL-HNS

Ankara, Turkey

Patients with endolymphatic hydrops not responding to medical treatment are candidates for surgery. While some surgeons prefer conservative procedures such as endolymphatic subarachnoid sac surgery (ESSS), most others prefer the more radical and effective one, namely the vestibular neurectomy (VN).

In order to achieve the advantages of both procedures, we combined two-in-one. Thus, while radically eliminating vertigo by VN, we aimed relieving fullness and hearing fluctuations by ESSS.

Out of 86 patients followed for 2 years postoperatively, vertigo elimination achieved in more than 96 %, and hearing preservation (stabilization) was accomplished in about 82 %. Fullness was subsided in not more than 72 % of these patients.