Translabyrinthine vestibular neurectomy and simultaneous cochlear implant for Ménière’s disease

Canzi, Pietro; Manfrin, Marco; Perotti, Marco; Aprile, Federico; Quaglieri, Silvia; Rebecchi, Elisabetta; Locatelli, Giulia; Benazzo, Marco

doi:10.1007/s00701-016-2996-9

Cited by 14 publications

(21 citation statements)

References 68 publications

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“…Of 37 studies included, 32 (86.5%) studies were full manuscripts [8][9][10][11][12][13] and five (13.5%) were conference abstracts. [43][44][45][46][47] 21 (56.8%) papers were case series (more than one patient), [19][20][21][22][25][26][27][28][29][30]36,37,40,[43][44][45][46][47] 11 (29.7%) were case reports (one patient), 23,24,[30][31][32][33][34][35]38,39,41,42 and five (13.5%) were case-control studies (one or more comparison groups). [8][9][10][11][12] Twenty-five (67.6%) studies were based internationally and 12 (32.4%) studies were based in the United States (Table I).…”

Section: Systematic Review Resultsmentioning

confidence: 99%

“…Thirty-five (94.6%) studies reported preoperative and postoperative PTA for 188 patients in implanted ears. While two of three studies reviewed (Canzi 2017 andDoobe 2005) individually found statistically significant improvements in PTA scores following CoI, there was no statistically significant difference in PTA with inclusion of Mukherjee 2017 (Fig. 3d).…”

Section: Pta Outcomesmentioning

confidence: 91%

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Cochlear Implantation in Meniere's Disease: A Systematic Review and Meta‐Analysis

et al. 2021

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Objectives/Hypothesis: Meniere's disease (MD) is a debilitating condition characterized by hearing loss, vertigo, and tinnitus. The objective of this study was to systematically investigate outcomes in MD after cochlear implantation (CoI), with and without labyrinthectomy.Study Design: Systematic review and meta-analysis. Methods: A systematic review of articles in Medline and Embase was performed to identify all studies of patients with MD who underwent CoI. This analysis evaluates outcomes of speech recognition, pure tone audiometry, vertigo, tinnitus, and quality of life.Results: Of 321 studies identified, 37 were included, involving 216 patients. Mean age at implantation was 61.4 years (range 27-85 years) with average length of follow-up at 1.7 years (range 0-9 years). Forty-four (20.4%) patients underwent labyrinthectomy. Meta-analysis demonstrated significant improvements in audiometric outcomes following CoI. There was a statistically significant improvement in Hearing in Noise Test performance, with a mean difference improvement of 44.7 (95% confidence interval [CI] [8.8, 80.6]) at 6 months and 60.1 (95% CI [35.3, 85.0]) at 12 months. The Freiburger Monosyllabic Test (FMT) and Consonant-Nucleus-Consonant (CNC) also improved significantly, with mean difference improvements of 46.2 (95% CI [30.0, 62.4]) for FMT and 19.3 (95% CI [8.1, 30.4]) for CNC. There was a statistically significant decrease in tinnitus, as measured by a mean difference reduction of 48.1 (95% CI [1.0, 95.2]) in the Tinnitus Handicap Index.Conclusions: CoI with and without simultaneous labyrinthectomy is a viable treatment option for patients with MD, yielding high rates of tinnitus suppression and vertigo control. Post-CoI MD patients demonstrate similar postoperative speech perception outcomes to non-MD implant recipients.

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Section: Systematic Review Resultsmentioning

confidence: 99%

Section: Pta Outcomesmentioning

confidence: 91%

Cochlear Implantation in Meniere's Disease: A Systematic Review and Meta‐Analysis

et al. 2021

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“…27 Several studies have demonstrated that QOL scores for patients with MD poorly correlate with vertigo symptoms 29,30 or objective measures of vestibular pathology, such as calorics or posturography. 31 Although the AAOHNS-CHE introduced a functional assessment of patients with MD in 1972, 16 Gabra et al 21 Shea et al 26 Hu and Parnes 22 De Valck et al 18 Jung et al 23 Diaz et al 19…”

Section: Discussionmentioning

confidence: 99%

“…The initial literature search yielded 419 studies, of which 148 remained after duplicates were removed. The remaining studies were screened by abstract, which narrowed to 20 articles for full-text review; 11 studies [16][17][18][19][20][21][22][23][24][25][26] were included for review and analysis ( Figure 1). Risk-of-bias assessment for each study using the MINORS instrument is listed in Table 1.…”

Section: Literature Search and Risk-of-bias Assessmentmentioning

confidence: 99%

Quality‐of‐Life Outcomes following Surgical Treatment of Ménière's Disease: A Systematic Review and Meta‐analysis

Ballard

Sukato

Timashpolsky

et al. 2018

Otolaryngol.--head neck surg.

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Objective Several surgical interventions are offered to patients with Ménière’s disease (MD) who fail medical management. Although outcomes have historically been reported according to American Academy of Otolaryngology—Head and Neck Surgery guidelines, patient-reported outcome measures (PROMs) are increasingly used to evaluate treatments. This study reviews PROMs used to assess surgical treatments for MD and compares the effect of each intervention based on PROM scores. Data Sources PubMed, EMBASE, CINAHL, and Web of Science. Review Methods This is a systematic review and meta-analysis of English-language studies that reported PROMs for surgical treatments of MD. Two independent investigators assessed study eligibility, rated the quality using Methodological Index for Non-Randomized Studies (MINORS), and abstracted data for comparative analysis. A random-effects model was used for meta-analysis of pooled data. Results Of 148 unique studies identified, 11 satisfied inclusion criteria. The Ménière’s Disease Outcome Questionnaire (MDOQ) was the most commonly used survey. Interventions included intratympanic gentamicin, vestibular nerve section, endolymphatic sac surgery, and labyrinthectomy. Pooled analysis of 8 studies that used the MDOQ instrument demonstrated statistically significant improvements in quality of life but did not identify a difference between destructive and nondestructive procedures. Conclusion Although our review shows significant improvements in PROM scores for both destructive and nondestructive interventions, there was no significant difference noted between treatment types. We cannot draw conclusions regarding the comparative effectiveness of specific interventions, and the results do not account for placebo effects or the natural history of the disease. Further investigation with randomized controlled trials should be considered in future studies.

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“…Devido ao reconhecimento de fala em ambiente ruidoso ser uma queixa frequente de usuários de AASI, se faz necessário na prática clínica uma avaliação que permita investigar o desempenho comunicativo em uma situação mais próxima da realidade, ou seja, em ambientes ruidosos. Deste modo, foram realizados diversos estudos com a finalidade de desenvolver testes capazes de avaliar a habilidade de reconhecimento de fala na presença de ruído em diversos idiomas (Canzi et al, 2016;Cooper & Cutts, 1971;Costa, 1998;Melo, Menezes, & Pacífico, 2017;Plomp & Mimpen, 1979). No Brasil foi desenvolvido um teste, Research, Society and Development, v. 9, n. 10, e059108352, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i10.8352 validado, reconhecido e amplamente utilizado na clínica fonoaudiológica, especialmente em situações de protetização auditiva para avaliar situações de fala no silêncio e no ruído, intitulado Listas de Sentenças em Português (LSP) (Costa, 1998).…”

Section: Introductionunclassified

Algoritmo de redução de ruído em aparelhos de amplificação sonora individual: influência no reconhecimento de sentenças no ruído

Gonçalves

Silveira

Teixeira

2020

RSD

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Objetivo: verificar a influência do algoritmo de redução de ruído no reconhecimento de fala no ruído em adultos e idosos, usuários de AASI. Método: Estudo transversal realizado com indivíduos de 18 anos ou mais, com perda auditiva neurossensorial, encaminhados para protetização. Para a avaliação utilizou-se o teste Lista de Sentenças em Português, em cabine acusticamente tratada, em duas condições: com o algoritmo de redução de ruído ligado e desligado. Resultados: A amostra é composta por 38 indivíduos. Observou-se uma melhora da relação sinal-ruído na condição do redutor de ruído ligado comparado ao desligado (p = 0,043). Quanto ao Índice Percentual de Reconhecimento de Sentenças no Ruído, não foram observadas diferenças estatisticamente significativas. Foram definidas duas variáveis: ΔS/R e ΔIPRSR. O ΔS/R é a diferença entre a relação sinal ruído com o redutor de ruído desligado e ligado, já o ΔIPRSR é a diferença entre o Índice Percentual de Reconhecimento de Sentenças no Ruído com redutor de ruído ligado e desligado. Observou-se que um aumento no ΔS/R está relacionado a uma piora do ΔIPRSR. Conclusão: A relação Sinal-Ruído apresentou melhora com a utilização do algoritmo, no entanto, o mesmo não foi verificado para o Índice Percentual de Reconhecimento de Sentenças no Ruído. Além disso, foi observada uma relação inversa entre ΔS/R e ΔIPRSR, indicando que maiores relações Sinal-Ruído podem comprometer o reconhecimento de sentenças no ruído.

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Translabyrinthine vestibular neurectomy and simultaneous cochlear implant for Ménière’s disease

Abstract: In our preliminary report, translabyrinthine vestibular nerve section and simultaneous cochlear implant showed encouraging results in order to definitively control both vestibular and cochlear symptoms during the same therapeutic procedure.

Cited by 14 publications

References 68 publications

Cochlear Implantation in Meniere's Disease: A Systematic Review and Meta‐Analysis

Cochlear Implantation in Meniere's Disease: A Systematic Review and Meta‐Analysis

Quality‐of‐Life Outcomes following Surgical Treatment of Ménière's Disease: A Systematic Review and Meta‐analysis

Algoritmo de redução de ruído em aparelhos de amplificação sonora individual: influência no reconhecimento de sentenças no ruído

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