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Surgery for vertigo: 10-year audit from a contemporary vertigo clinic

Published online by Cambridge University Press:  11 December 2015

U Patnaik ,
A Srivastava ,
K Sikka  and
A Thakar
U Patnaik
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India Department of Otolaryngology – Head and Neck Surgery, Army Hospital Research and Referral, New Delhi, India
A Srivastava
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
K Sikka
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
A Thakar*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
*
Address for correspondence: Prof Alok Thakar, Department of Otolaryngology – Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi 110029, India E-mail: [email protected]
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Abstract

Objective:

To present the profile of patients undergoing surgical treatment for vertigo at a contemporary institutional vertigo clinic.

Study design:

A retrospective analysis of clinical charts.

Methods:

The charts of 1060 patients, referred to an institutional vertigo clinic from January 2003 to December 2012, were studied. The clinical profile and long-term outcomes of patients who underwent surgery were analysed.

Results:

Of 1060 patients, 12 (1.13 per cent) were managed surgically. Of these, disease-modifying surgical procedures included perilymphatic fistula repair (n = 7) and microvascular decompression of the vestibular nerve (n = 1). Labyrinth destructive procedures included transmastoid labyrinthectomy (n = 2) and labyrinthectomy with vestibular nerve section (n = 1). One patient with vestibular schwannoma underwent both a disease-modifying and destructive procedure (translabyrinthine excision). All patients achieved excellent vertigo control, classified as per the American Academy of Otolaryngology – Head and Neck Surgery 1995 criteria.

Conclusion:

With the advent of intratympanic treatments, surgical treatments for vertigo have become further limited. However, surgery with directed intent, in select patients, can give excellent results.

Keywords

VertigoSurgical Procedures, OperativePatient Outcome AssessmentModern Medicine
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1182 - 1187
Copyright
Copyright © JLO (1984) Limited 2015 

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