Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-27T12:56:51.753Z Has data issue: false hasContentIssue false

Disabililty after labyrinthectomy

Published online by Cambridge University Press:  29 June 2007

Kevin D. Pereira
Affiliation:
Departments of Otolaryngology, Royal Victoria Hospital and Belfast City Hospital, Belfast.
Alan G. Kerr*
Affiliation:
Departments of Otolaryngology, Royal Victoria Hospital and Belfast City Hospital, Belfast.
*
Address for correspondence: Mr Alan G. Kerr, F.R.C.S., 6 Cranmore Gardens, Belfast BT9 6JL.

Abstract

A labyrinthectomy is known to relieve vertigo successfully in the majority of patients who suffer from Menière's disease and have non-serviceable hearing in the affected ear. It is assumed that the procedure reduces disability, helps the patient to return to work and improves the quality of life. Eighteen patients who underwent a transmastoid drill-out labyrinthectomy between 1980 and 1990 were interviewed and an attempt was made to evaluate the success of the operation in accordance with the guidelines set out by the AAO-HNS 1985. In the present series it was noted that although vertigo was relieved in 89 per cent of patients after labyrinthectomy, only 50 per cent of them returned to work. In this study, the age and occupation of the patient at the time of surgery and the relief of vertigo did not accurately predict whether or not a patient returned to work.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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

Cawthorne, T. (1968) Indications and results of labyrinthectomy via the oval window. Otolaryngologic Clinics of North America 1: 557561.CrossRefGoogle Scholar
Cawthorne, T. (1969) Choice of labyrinthine surgery for hydrops. Archives of Otolaryngology 89: 108111.CrossRefGoogle ScholarPubMed
Glasscock, M. E., Hughes, G. B., Davis, W. E., Jackson, G. C. (1980) Labyrinthectomy versus middle fossa vestibular nerve section in Menière's disease. Annals of Otology 89: 318324.Google ScholarPubMed
Graham, M. D., Colton, J. J. (1980) Transmastoid labyrinthectomy indications. Technique and early post-operative results. Laryngoscope 90: 12531262.Google Scholar
Goycoolea, M. V., Ruah, C. B., Lavinsky, L., Morales-Garcia, C. (1994) Overall view and rationale for surgical alternatives for incapacitating peripheral vertigo. Otolaryngologic Clinics of North America 27(2): 283300.CrossRefGoogle ScholarPubMed
Levine, S. C., Glasscock, M., McKernan, K. X. (1990) Long term results of labyrinthectomy. Laryngoscope 100: 125127.CrossRefGoogle ScholarPubMed
Palaskas, C. W., Dobie, R. A., Synder, J. M. (1988) Progression of hearing loss in bilateral Menière's disease. Laryngoscope 98: 287290.CrossRefGoogle ScholarPubMed
Pearson, B. W., Brackmann, D. E. (1985) Committee on hearing and equilibrium guidelines for reporting treatment results in Menière's disease. Otolaryngology—Head and Neck Surgery 93: 579581.CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1973) Destructive labyrinthine surgery. Archives of Otolaryngology 97: 150151.CrossRefGoogle ScholarPubMed