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Transmastoid labyrinthectomy for disabling vertigo after cochlear implantation

Published online by Cambridge University Press:  10 September 2014

H Tutar ,
V B Tutar ,
B Gunduz  and
Y A Bayazit
H Tutar*
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Faculty of Medicine, Gazi University, Ankara, Turkey
V B Tutar
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Faculty of Medicine, Gazi University, Ankara, Turkey
B Gunduz
Affiliation:
Audiology Department, Faculty of Medicine, Gazi University, Ankara, Turkey
Y A Bayazit
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Faculty of Medicine, Gazi University, Ankara, Turkey
*
Address for correspondence: Dr Hakan Tutar, Kizilirmak Mah. Muhsin Yazicioglu Street 33/26, Cukurambar, Ankara 06600, Turkey Fax: +90 312 202 43 57 E-mail: [email protected]
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Abstract

Objective:

To document the use of transmastoid labyrinthectomy in the treatment of disabling vertigo after unilateral cochlear implantation.

Methods:

A 58-year-old man with severe-to-profound bilateral sensorineural hearing loss secondary to chronic otitis media underwent cochlear implantation in his right ear with a Pulsar Med-El device. The surgery was uneventful and the electrode was positioned correctly. He had episodic vertigo three months after implant surgery, and medical treatment and aggressive vestibular rehabilitation did not relieve the vertigo attacks.

Results:

Right transmastoid labyrinthectomy was performed one year after cochlear implantation. The patient's symptoms were immediately relieved, and cochlear implant function was not adversely affected at follow up after three years.

Conclusion:

Transmastoid labyrinthectomy seems to be an effective, safe method for ablating the vestibular end organ after unilateral cochlear implantation.

Keywords

Otologic Surgical ProceduresVertigoCochlear ImplantationComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 11 , November 2014 , pp. 1008 - 1010
Copyright
Copyright © JLO (1984) Limited 2014 

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