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After a general review of the actual histopathological concept of Meniere's disease, a review of the results, as concerns hearing, of the selective section of the vestibular fibers by the suboccipital approach, and of vestibular neurectomy by the middle fossa approach is made.From our personal experience in performing 247 neurectomies from November, 1969 to July, 1976 as treatment for peripheral vertigos of different etiologies, auditory function was followed-up in 78 cases of Meniere's disease, with a postoperative control, between 2 and 6% years. In 51% of these cases the preoperative threshold was preserved, hearing improved in 32%, and deteriorated in 17%.Possible mechanisms by which vestibular neurectomy can favorably influence hearing are considered, with special mention of the neurovegetative theory.Apres un rappel de la conception histopathologique actuelle de la maladie de Meniere, nous examinons les resultats, concernant l'audition, de la section selective des fibres vestibulaires par voie sous-...