Abstract
Vestibular neurectomy technique used for the standard middle fossa approach and for a total translabyrinthine VIII nerve section is described. The middle fossa approach has been used in 49 cases of mainly Meniere's disease and basically the same approach for nerve decompression has been used in 19 cases of facial paralysis, 15 being due to Bell's palsy, 2 to petrous pyramid cholesteatoma and 2 to facial nerve Schwannoma. In unilateral Meniere's disease with no further fluctuation in hearing, vestibular neurectomy gives good results in alleviating vertigo.