Surgery usually is reserved for patients with severe Ménière's disease refractory to medical treatment (1):
Procedures which conserve hearing in Meniere's disease:
Total labyrinthectomy destroys inner ear function thus causing deafness but usually, relieving vertigo. It should only be undertaken if there is unilateral Meniere's disease and hearing loss is severe.
Seemingly irrelevant procedures have been found to be effective, for example the insertion of grommets, although symptoms may return when the grommets are taken out.
Reference:
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