A labyrinthectomy is known to relieve vertigo successfully in the majo
rity of patients who suffer from Meniere's disease and have non-servic
eable hearing in the affected ear. It is assumed that the procedure re
duces disability, helps the patient to return to work and improves the
quality of life. Eighteen patients who underwent a transmastoid drill
-out labyrinthectomy between 1980 and 1990 were interviewed and an att
empt was made to evaluate the success of the operation in accordance w
ith the guidelines set out by the AAO-HNS 1985. In the present series
it was noted that although vertigo was relieved in 89 per cent of pati
ents after labyrinthectomy, only 50 per cent of them returned to work.
In this study, the age and occupation of the patient at the time of s
urgery and the relief of vertigo did not accurately predict whether or
not a patient returned to work.