5.1.2 Surgical intervention for MD In terms of surgical approaches, although procedures such as endolymphatic sac decompression (ESD) and vestibular neurectomy (VN) can provide high vertigo control rates in some refractory cases (61, 62), factors including surgical invasiveness, complication risks (e.g., hearing damage, cerebrospinal fluid leakage), and insufficient long-term data for certain techniques limit their widespread adoption
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