Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-16T05:20:39.805Z Has data issue: false hasContentIssue false
  • English
  • Français

Simultaneous cochlear implantation and labyrinthectomy for advanced Ménière's disease

Published online by Cambridge University Press:  17 December 2015

R L Heywood  and
M D Atlas
R L Heywood*
Affiliation:
Sir Charles Gairdner Hospital, Perth, Australia Ear Science Institute Australia, Perth, Australia
M D Atlas
Affiliation:
Sir Charles Gairdner Hospital, Perth, Australia Ear Science Institute Australia, Perth, Australia
*
Address for correspondence: Dr Rebecca L Heywood, Department of Otolaryngology, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, WA 6009, Australia E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Patients with Ménière's disease can develop unaidable sensorineural hearing loss. Cochlear implantation has recently been utilised in this group with favourable results. A more challenging group are those with intractable vertigo, and they have traditionally posed a significant management dilemma.

Case report:

Two female patients with unaidable hearing and recurrent incapacitating vertigo attacks despite conservative management underwent simultaneous labyrinthectomy and cochlear implantation. There was complete resolution of vertigo in both patients. Speech perception in quiet conditions and the ability to hear in background noise improved considerably.

Conclusion:

Surgical labyrinthectomy is effective for the elimination of vertigo in Ménière's disease patients. The major disadvantage in the past was loss of residual hearing. Cochlear implantation is now an option in these patients. The benefits of simultaneous labyrinthectomy with cochlear implantation include the prevention of implantation of a fibrosed or ossified cochlea, a decrease in the duration of deafness, and a single operative procedure.

Keywords

Ménière DiseaseCochlear ImplantsVertigoHearing Loss
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 2 , February 2016 , pp. 204 - 206
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1McRacken, TR, Gifford, RH, Kahue, CN, Dwyer, R, Labadie, RF, Wanna, GB et al. Cochlear implantation in Ménière's disease patients. Otol Neurotol 2014;35:421–5CrossRefGoogle Scholar
2Fife, TA, Lewis, MP, May, JS, Oliver, ER. Cochlear implantation in Ménière's disease. JAMA Otolaryngol Head Neck Surg 2014;140:535–9CrossRefGoogle ScholarPubMed
3Mick, P, Amoodi, H, Arnoldner, C, Shipp, D, Friesen, L, Lin, V et al. Cochlear implantation in patients with advanced Ménière's disease. Otol Neurotol 2014;35:1172–8CrossRefGoogle ScholarPubMed
4Lustig, LR, Yeagle, J, Niparko, JK, Minor, LB. Cochlear implantation in patients with bilateral Ménière's syndrome. Otol Neurotol 2003;24:397–403CrossRefGoogle ScholarPubMed
5Stahle, J. Advanced Ménière's disease. A study of 356 severely disabled patients. Acta Otolaryngol 1976;81:113–19CrossRefGoogle ScholarPubMed
6Watanabe, Y, Mizukoshi, K, Shojaku, H, Watanabe, I, Hinoki, M, Kitahara, M. Epidemiological and clinical characteristics of Menière's disease in Japan. Acta Otolaryngol Suppl 1995;519:206–10CrossRefGoogle ScholarPubMed
7Kimura, RS, Ota, CY, Schuknecht, HF, Takahashi, T. Electron microscopic cochlear observations in bilateral Ménière's disease. Ann Otol Rhinol Laryngol 1976;85:791–801CrossRefGoogle ScholarPubMed
8Otte, J, Schunknecht, HF, Kerr, AG. Ganglion cell populations in normal and pathological human cochleae. Implications for cochlear implantation. Laryngoscope 1978;88:1231–46CrossRefGoogle ScholarPubMed
9Osborn, HA, Yeung, R, Lin, VY. Delayed cochlear implantation after surgical labyrinthectomy. J Laryngol Otol 2012;126:63–5CrossRefGoogle ScholarPubMed
10Thedinger, BA, Cueva, RA, Glasscock, ME 3rd. Treatment of an acoustic neuroma in an only-hearing ear: case reports and considerations for the future. Laryngoscope 1993;103:976–80CrossRefGoogle Scholar
11Belal, A, Ylikoski, J. Pathology as it relates to ear surgery II. Labyrinthectomy. J Laryngol Otol 1983;97:1–10CrossRefGoogle ScholarPubMed
12Chen, DA, Linthicum, FH Jr, Rizer, FM. Cochlear histopathology in the labyrinthectomized ear: implications for cochlear implantation. Laryngoscope 1988;98:1170–2CrossRefGoogle ScholarPubMed
13Kemink, JL, Kileny, PR, Niparko, JK, Telian, SA. Electrical stimulation of the auditory system after labyrinthectomy. Am J Otol 1991;12:7–10Google ScholarPubMed
14Zwolan, TA, Shepard, NT, Niparko, JK. Labyrinthectomy with cochlear implantation. Am J Otol 1993;14:220–3Google ScholarPubMed
15Hansen, MR, Gantz, BJ, Dunn, C. Outcomes after cochlear implantation for patients with single-sided deafness, including those with recalcitrant Ménière's disease. Otol Neurotol 2013;34:1681–7CrossRefGoogle ScholarPubMed
16MacKeith, SA, Bottrill, ID, Ramsden, JD. Simultaneous labyrinthectomy with cochlear implantation in patients with bilateral Ménière's disease. Ann Otol Rhinol Laryngol 2014;123:485–9CrossRefGoogle ScholarPubMed