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双侧梅尼埃病(MD)的眩晕常有致残和治疗困难。实施手术治疗如内淋巴囊手术应两侧施行,大多数作者报告在单侧 MD 中眩晕缓解率为50～70%,Glasscock 等(1989)提出它不具有长期益处。切除手术的选择(如前庭神经切除或迷路切除术)在单侧 MD 中能较好的缓解眩晕。而双侧 MD 的症状可来自两耳,坏听力耳或较好听力耳,因此限制手术的选择。Fisch(1973)在双侧 MD 病人中施行前庭神经切除术,发现术后常引起振动幻视(oscillopsia),作者认为前庭神经切除术在较好听力耳中
Vertigo of bilateral Meniere’s Disease (MD) is often disabling and difficult to treat. Surgery such as endolymphatic sac surgery should be performed on both sides. Most authors report vertigo relief rates of 50-70% in unilateral MD, and Glasscock et al. (1989) suggest that it does not have long-term benefit. Resection surgery options (such as vestibular resection or labyngectomy) in unilateral MD can better relieve dizziness. The symptoms of bilateral MD may come from the ears, bad hearing or better hearing ear, thus limiting the choice of surgery. Fisch (1973) performed vestibular neurectomy in patients with bilateral MD and found that postoperative oscillopsia was often caused. The authors concluded that vestibular neurectomy is performed in better hearing ears