AUTHOR=Gibson W. P. R. 

TITLE=Endolymphatic sac surgery: past and present controversies

JOURNAL=Frontiers in Neurology

VOLUME=Volume 16 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2025.1635186

DOI=10.3389/fneur.2025.1635186

ISSN=1664-2295

ABSTRACT=The history of endolymphatic sac surgery is presented. The original concept of passive drainage is challenged as the physiology of the endolymphatic sac is gradually elucidated. Surgery causes damage to the delicate cells with the concept of endolymphatic sac excision and endolymphatic duct clipping discussed. The author presents a hypothesis of how vertigo attacks occur.