Surgical technique for excision of Scarpa's ganglion (vestibular neurectomy) is described. Follow-up study of the first 37 patients operated on because of persistent and disabling Meniere's disease has shown that 89% of the cases were still free of vertigo at end of third postoperative year. Hearing has been preserved in 69% and improved (by 20 dB or more) in 17% of the patients.
No serious complications at or following surgery were observed. The excision of Scarpa's ganglion (vestibular neurectomy) offers a welcome alternative to destructive labyrinthine surgery.