Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-18T14:17:42.740Z Has data issue: false hasContentIssue false
  • English
  • Français

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]
Get access Rights & Permissions [Opens in a new window]

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 

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

1van den Broek, P, Huygen, PL, Mens, LH, Admiraal, RJ, Spies, T. Vestibular function in cochlear implant patients. Acta Otolaryngol 1993;113:263–5Google Scholar
2Ito, J. Influence of the multichannel cochlear implant on vestibular function. Otolaryngol Head Neck Surg 1998;118:900–2Google Scholar
3Huygen, PL, van den Broek, P, Spies, TH, Mens, LH, Admiraal, RJ. Does intracochlear implantation jeopardize vestibular function? Ann Otol Rhinol Laryngol 1994;103:609–14Google Scholar
4Huygen, PL, van den Broek, P. Vestibular function pre- and post-cochlear implantation. J Otolaryngol 1995;24:262Google ScholarPubMed
5Limb, CJ, Francis, HF, Lustig, LR, Niparko, JK, Jammal, H. Benign positional vertigo after cochlear implantation. Otolaryngol Head Neck Surg 2005;132:741–5CrossRefGoogle ScholarPubMed
6Fina, M, Skinner, M, Goebel, JA, Piccirillo, JF, Neely, JG, Black, O. Vestibular dysfunction after cochlear implantation. Otol Neurotol 2003;24:234–42CrossRefGoogle ScholarPubMed
7Kusuma, S, Liou, S, Haynes, DS. Disequilibrium after cochlear implantation caused by perilymphatic fistula. Laryngoscope 2005;115:25–6Google Scholar
8Bance, ML, O'Driscoll, M, Giles, E, Ramsden, RT. Vestibular stimulation by multichannel cochlear implants. Laryngoscope 1998;108:291–4Google Scholar
9Kubo, T, Yamamoto, K, Iwaki, T, Doi, K, Tamura, M. Different forms of dizziness occurring after cochlear implant. Eur Arch Otorhinolaryngol 2001;258:9–12CrossRefGoogle ScholarPubMed
10Di Girolamo, S, Fetoni, AR, Di Nardo, W, Paludetti, G. An unusual complication of cochlear implant: benign paroxysmal positional vertigo. J Laryngol Otol 1999;113:922–3Google Scholar
11Heidenreich, KD, Basura, GJ, Zwolan, TA, El-Kashian, HK, Telian, SA. Transcanal labyrinthectomy for intractable vertigo after unilateral cochlear implantation. Otol Neurotol 2011;32:1270–2Google Scholar
12Chen, DA, Linthicum, FH Jr, Rizer, FM. Cochlear histopathology in the labyrinthectomized ear: implications for cochlear implantation. Laryngoscope 1988;98:1170–2Google Scholar
13Kartush, JM, Linstrom, CJ, Graham, MD, Kulick, KC, Bouchard, KR. Promontory stimulation following labyrinthectomy: implications for cochlear implantation. Laryngoscope 1990;100:5–9Google Scholar