Objective To investigate the effect of vestibular rehabilitation training in patients with vestibular dysfunction during the perioperative period of otologic surgery, and to provide a reference for expanding the application scope of vestibular rehabilitation. Methods A quasi-experimental study was conducted. Twenty-eight patients admitted from April to July 2023 were assigned to the control group and received routine care, including assessment, fall prevention, medication administration as prescribed, and psychological support. Another 28 patients admitted from August to December 2023 were assigned to the intervention group and received personalized vestibular rehabilitation training in addition to routine care. Outcomes were evaluated at admission, on the second day postoperatively, at discharge, and at two and four weeks after discharge. Results The intervention group showed signi-ficantly lower Visual Analogue Scale-Vertigo (VAS-V) scores for dizziness at discharge, two weeks post-discharge, and four weeks post-discharge compared to the control group (all P< 0.05). At discharge, the intervention group also demonstrated significantly better outcomes in the Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence Scale (ABC), and Four Item Patient Health Questionnaire (PHQ-4) Scores (all P<0.05). Additionally, the Romberg standing test results were significantly better in the intervention group at discharge (P<0.05). Conclusions Vestibular rehabilitation training is effective in improving vestibular symptoms and reducing anxiety and depression levels in patients with perioperative vestibular dysfunction following otologic surgery.