Simultaneous cochlear implantation and labyrinthectomy for advanced Ménière's disease

Heywood, Rebecca; Atlas, Marcus D.

doi:10.1017/s0022215115003345

Cited by 17 publications

(24 citation statements)

References 14 publications

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“…Investigations of cochlear implantation in Meniere's disease patients have demonstrated successful auditory rehabilitation in this and other studies. 24,26,27 Simultaneous labyrinthectomy and cochlear implantation provides many benefits, including the benefit of an ablative and restorative procedure under a single general anesthetic, restoration of binaural hearing, and the potential elimination of vertigo and tinnitus. Notably, all of our patients had complete resolution of their tinnitus.…”

Section: Discussionmentioning

confidence: 99%

“…Previous investigation of outcomes following simultaneous labyrinthectomy and cochlear implantation in Meniere's disease patients have either been retrospective case studies, focused on bilateral disease, or part of a larger cohort. 26,28,29 It is therefore difficult to apply any conclusive outcomes within the current literature to this study population. In our study, we aimed to prospectively investigate outcomes of speech perception, sound localization, and quality of life measures in subjects with unilateral Meniere's disease and normal or near-normal hearing in the contralateral ear following concurrent labyrinthectomy and cochlear implantation.…”

Section: Introductionmentioning

confidence: 99%

“…[18][19][20][21][22] Previous studies have demonstrated successful audiologic rehabilitation of Meniere's disease patients with cochlear implantation. [23][24][25][26][27] Simultaneous labyrinthectomy and cochlear implantation in patients with Meniere's disease provide a unique opportunity to address intractable vertigo and restore auditory perception in a deafened ear. Previous investigation of outcomes following simultaneous labyrinthectomy and cochlear implantation in Meniere's disease patients have either been retrospective case studies, focused on bilateral disease, or part of a larger cohort.…”

Section: Introductionmentioning

confidence: 99%

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Simultaneous labyrinthectomy and cochlear implantation in unilateral meniere's disease

Perkins

Rooth

Dillon

et al. 2018

Laryngoscope Investig Oto

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ObjectiveIn a single‐institution, FDA‐approved IDE study, subjects with unilateral Meniere's disease and intractable vertigo underwent concurrent labyrinthectomy and cochlear implantation to determine speech perception, localization, and quality of life outcomes.MethodsThree subjects with unilateral Meniere's disease with normal or near‐normal hearing in the contralateral ear underwent simultaneous labyrinthectomy and cochlear implantation. Sound localization, speech perception in noise and quiet, tinnitus handicap index, and quality of life measures were evaluated at 1, 3, and 6 months after implant activation.ResultsSound localization testing demonstrated immediate benefit postimplantation with the cochlear implant (CI). RMS error with CI on was 22 degrees (±2) and with CI off was 63 (±15) at 6 months. Mean CI alone scores were 22% (±20) at 1 month and improved to 43% (±20) and 49% (±11) at the 3‐ and 6‐month intervals, respectively. AzBio sentences in babble (0 dB SNR) scores presented in the most challenging listening condition (S0NContra) were 28% (±20) at 1 month, 38% (±18) at 3 months, and 45% (±24) at 6 months. Tinnitus Handicap Inventory (THI) significantly improved from an average preoperative score of 42 (±26) to 0 at 6 months. Quality of life measures improved overall over the postimplantation follow‐up intervals.ConclusionsSubjects with unilateral Meniere's Disease who underwent simultaneous labyrinthectomy and cochlear implantation experienced improvements in sound localization, speech understanding, tinnitus severity, and quality of life with device use. There was a trend for better performance over the postoperative intervals.Level of Evidence2b.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Simultaneous labyrinthectomy and cochlear implantation in unilateral meniere's disease

Perkins

Rooth

Dillon

et al. 2018

Laryngoscope Investig Oto

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“…In 2015, in a comparative study [53] between cochlear sacculotomy techniques and endolymphatic sac decompression, the control of vertigo was significantly better in patients after cochleo-sacculotomy but also with significant deterioration of hearing. The cochleo-sacculotomy procedure performed simultaneously with cochlear implant surgery in patients with deafness and persistent vertigo in Ménière's disease is an alternative already proposed by some authors [54][55][56], and they have reported good results.…”

Section: Sacculotomymentioning

confidence: 99%

Surgical Procedures for Ménière’s Disease

Bento¹,

Lopes²

2019

Meniere's Disease [Working Title]

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The aim of this chapter is to present a literature review on some of the main articles describing different interventions for the treatment in patients with progressive intractable Ménière disease symptoms. Even though each paper presents good results in defending its techniques, there have been few well-designed clinical studies, that is, studies involving control groups or long-term observation, in the efficacy of surgery with respect to vertigo control and hearing preservation. Focusing on presenting the different techniques established in the literature, we discuss the main indications and results obtained regarding the control of vertigo and the audiological outcomes after the procedure. Physicians should offer additional treatment strategies for Meniere's disease patients with a long history of limiting symptoms or associated hearing loss. The surgical options for such patients should be considered carefully because surgery can damage the ipsilateral ear and the hearing function of the contralateral ear is often suboptimal. Its importance is that alternatives for treatment can only be offered to a patient when doctor knows them.

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“…For patients with single-sided Meniere's disease and profound sensorineural hearing loss, a simultaneous labyrinthectomy and cochlear implantation are efficient method for the treatment of vertigo and rehabilitation of the auditory system [40].…”

Section: Labyrinthectomymentioning

confidence: 99%