Middle fossa vestibular neurectomy: a report of 373 cases.

The surgical technique for vestibular neurectomy through the middle fossa approach is described. Surgical details, including the use of a new middle fossa retractor, are discussed. A variety of technical refinements have been made to improve and shorten the operation. The main surgical indication is for Meniere's disease. It has, however, also been used in other peripheral vestibular problems such as traumatic vertigo and vertigo secondary to previous ear surgery. Long-term hearing and vestibular results using this approach for Meniere's disease have been encouraging. These results, in addition to the small incidence of postoperative complications, have made the operation extremely useful.