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Chemical labyrinthectomy and cochlear implantation for Menière's disease – An effective treatment or a last resort?

Published online by Cambridge University Press:  29 June 2007

M. Morgan ,
L. Flood ,
M. Hawthorne  and
S. Raje
M. Morgan
Affiliation:
Ear, Nose, Throat and Eye Research, North Riding Infirmary, Newport Road, Middlesbrough, UK
L. Flood*
Affiliation:
Ear, Nose, Throat and Eye Research, North Riding Infirmary, Newport Road, Middlesbrough, UK
M. Hawthorne
Affiliation:
Ear, Nose, Throat and Eye Research, North Riding Infirmary, Newport Road, Middlesbrough, UK
S. Raje
Affiliation:
Ear, Nose, Throat and Eye Research, North Riding Infirmary, Newport Road, Middlesbrough, UK
*
Address for correspondence: Mr L. M. Flood, Research Foundation (ENTER), ENT Department, North Riding Infirmary, Newport Road, Middlesbrough TS1 5JE. Fax: 01642 231154 email: enter@onyxnet.co.uk
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Abstract

The surgical management of Menière's disease presents a difficult and controversial problem and includes various procedures ranging from ‘placebo operations’ to vestibular nerve section. The situation is even more complex in the case where the only hearing ear is affected. We present a case of severe debilitating vertigo due to Menière's disease that was treated by chemical labyrinthectomy and cochlear implantation. This unique management strategy allowed restoration of useful hearing and relief of vertigo.

Keywords

Menière's diseaseCochlear implantGentamicinsLabyrinthVertigo
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 7 , July 1999 , pp. 666 - 669
Copyright
Copyright © JLO (1984) Limited 1999

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References

Belal, A., Ylikoski, J. (1983) Pathology as it relates to ear surgery. II. Labyrinthectomy. Journal of Laryngology and Otology 97: 1–10.CrossRefGoogle ScholarPubMed
Chen, D. A., Linthicum, F. H., Rizer, F. M. (1988) Cochlear histopathology in the labyrinthectomized ear: Implications for cochlear implantation. Laryngoscope 98: 1170–1172.Google Scholar
Fayad, J., Linthicum, F., Galey, F., Otto, S., House, W. (1991) Cochlear implant, histopathology findings. Annals of Otorhinolaryngology 100: 807–811.Google Scholar
Fisch, U. P. (1973) Excision of Scarpa's ganglion. Archives of Otolaryngology 97: 147–149.CrossRefGoogle ScholarPubMed
Kartush, J. M., Linstrom, C. J., Graham, M. D., Kulick, K. C., Bouchard, K. R. (1990) Promontory stimulation following labyrinthectomy; Implications for cochlear implantation. Laryngoscope 100: 5–9.CrossRefGoogle ScholarPubMed
Kveton, J. F., Abbot, C., April, M., Drumheller, G., Cohen, N., Poe, D. S. (1989) Cochlear implantation after transmastoid labyrinthectomy. Laryngoscope 99: 610–613.CrossRefGoogle ScholarPubMed
Lambert, P. R., Ruth, R. A., Halpin, C. F. (1990) Promontory stimulation in labyrinthectomized ears. Archives of Otolaryngology – Head and Neck Surgery 116: 197–201.CrossRefGoogle ScholarPubMed
Langman, A. J., Kemink, L., Nink, K. E. (1990) Titration streptomycin therapy for bilateral Menière's disease. Annals of Otorhinolaryngology 99: 923–927.Google ScholarPubMed
Morrison, A. W. (1983) Sac surgery on the only hearing or better hearing ear. Otolaryngologic Clinics of North America 16: 143–151.Google Scholar
Otte, J., Schuknecht, H. F., Kerr, A. G. (1978) Ganglion cell populations in normal and pathological human cochlea. Implications for cochlear implantation. Laryngoscope 88: 1231–1246.Google Scholar
Primrose, W. J., Smyth, G. D. L., Kerr, A. G., Gordon, D. S. (1986) Vestibular nerve section and saccus decompression: an evaluation of long term results. Journal of Laryngology and Otology 100: 775–784.Google Scholar
Ramsden, R. T., Timms, M. S. (1991) Promontory stimulation following labyrinthectomy. Journal of Laryngology and Otology 105: 729–731.Google Scholar
Schuknecht, H. F. (1957) Ablation therapy in the management of Menière's disease. Acta Otolaryngologica (Stockh) (Suppl 132): 1–42.Google ScholarPubMed
Thedinger, B. A., Cueva, R. A., Glasscock, M. E. (1993) Treatment of an acoustic neuroma in an only hearing ear. Laryngoscope 1033: 976–980.Google Scholar
Zwolan, T. A., Shepard, N. T., Niparko, J. K. (1993) Labyrinthectomy with cochlear implantation. American Journal of Otology 14(3): 220–223.Google ScholarPubMed