Inner ear perfusion techniques have become a prominent first-line treatment for inner ear disorders. The Silverstein MicroWick™ facilitates prolonged near-continuous perfusion of the inner ear with medication. Gentamicin has been effectively used to treat the vertigo of Menière's disease, and dexamethasone has been used to restore hearing caused by sudden deafness via the MicroWick. The MicroWick is easy to place in the office, with a low associated cost and a high relative safety-efficacy profile. Inner ear perfusion techniques have become a prominent first-line treatment for inner ear disorders. The Silverstein MicroWick™ facilitates prolonged near-continuous perfusion of the inner ear with medication. Gentamicin has been effectively used to treat the vertigo of Menière's disease, and dexamethasone has been used to restore hearing caused by sudden deafness via the MicroWick. The MicroWick is easy to place in the office, with a low associated cost and a high relative safety-efficacy profile.