Simultaneous Labyrinthectomy With Cochlear Implantation in Patients With Bilateral Ménière’s Disease.

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Bibliographic Details
Title:	Simultaneous Labyrinthectomy With Cochlear Implantation in Patients With Bilateral Ménière’s Disease.
Authors:	MacKeith, Samuel A. C., Bottrill, Ian D., Ramsden, James D.
Source:	Annals of Otology, Rhinology & Laryngology. Jul2014, Vol. 123 Issue 7, p485-489. 5p.
Subjects:	Operative surgery, Cochlear implants, Inner ear diseases, Ménière's disease
Abstract:	OBJECTIVE:The development of second-side Ménière's disease in the only remaining serviceable ear is difficult to treat. We describe an intervention to control disabling disease combining a labyrinthectomy and cochlear implant to restore hearing. METHODS:Following a thorough preoperative assessment and consenting process, 2 patients underwent labyrinthectomy of the affected ear with simultaneous cochlear implantation. RESULTS:Both patients achieved control of Ménière's attacks with improved hearing rehabilitation. Oscillopsia was noted by both patients. Both patients were pleased to have undergone the treatment. CONCLUSION:Severe symptomatic second-side Ménière's disease in the only hearing ear is uncommon. We report the successful treatment of 2 patients in this difficult management scenario, by simultaneous surgical labyrinthectomy and cochlear implantation. We propose this as a potential management strategy in this rare but complex group of patients in whom all less destructive measures have failed. [ABSTRACT FROM AUTHOR]
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Database:	Psychology and Behavioral Sciences Collection

Description
Abstract:	OBJECTIVE:The development of second-side Ménière's disease in the only remaining serviceable ear is difficult to treat. We describe an intervention to control disabling disease combining a labyrinthectomy and cochlear implant to restore hearing. METHODS:Following a thorough preoperative assessment and consenting process, 2 patients underwent labyrinthectomy of the affected ear with simultaneous cochlear implantation. RESULTS:Both patients achieved control of Ménière's attacks with improved hearing rehabilitation. Oscillopsia was noted by both patients. Both patients were pleased to have undergone the treatment. CONCLUSION:Severe symptomatic second-side Ménière's disease in the only hearing ear is uncommon. We report the successful treatment of 2 patients in this difficult management scenario, by simultaneous surgical labyrinthectomy and cochlear implantation. We propose this as a potential management strategy in this rare but complex group of patients in whom all less destructive measures have failed. [ABSTRACT FROM AUTHOR]
ISSN:	00034894
DOI:	10.1177/0003489414527226