الفهرس 
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Abstract
Meniere’s disease is characterized by tetrade of vertigo, fluctuating hearing loss, tinnitus and aural fullness. The constant pathological feature is endolymphatic hydrops, although its exact aetiology is still unknown. There are numerous surgical procedures planned for its management if medical treatment fails to control it, and this multiplicity denotes that no one gives complete cure. The destructive procedures are indicated for advanced cases with no serviceable hearing especially in elderly patients, while the conservative ones are usually resorted to in young patients with serviceable hearing. The saccus decompression operations are usually preferred by most otologists as they are safe procedures and give good results in preserving hearing beside control of other symptoms. Vestibular neurectomy on the other hand requires special skills inneuro-otological surgery. There are three main approaches: the middle fossa approach, the retro-labyrinthine approach and the most recent retrosigmoid appoach and inspite of their good results in relieving the most distressing symptom of Meniere’s disease (vertigo), they have no effect on other symptoms and neither of them is without neurological complications.