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Transcanal labyrinthectomy in childhood: report of a case
R C Mendes1, J J Maniglia, M Mocellin
1Department of Otolaryngology of Federal University School of Medicine of Paraná State, Curitiba, Brazil.
Abstract:
Vertigo in children is caused by several factors. One such factor is viruses (e.g., mumps, measles, and rubeola) afflicting the inner ear by various mechanisms. In the majority of cases, affected patients improve with clinical therapy and vestibular rehabilitation. We present the case of a child with vertigo as a sequela of mumps virus infection that did not improve with clinical treatment and vestibular rehabilitation. Consequently, the child was submitted to a transcanal labyrinthectomy followed by vestibular rehabilitation, with significant postprocedure improvement of symptoms. We discuss surgical indications, the technique used in this case, and the importance of vestibular rehabilitation in the postoperative period.
Insights
Pediatric vertigo from mumps virus infection can be challenging. This case highlights transcanal labyrinthectomy as an effective treatment for intractable vertigo, followed by vestibular rehabilitation.
Area of Science:
- Otolaryngology
- Pediatric Neurology
- Infectious Diseases
Background:
- Vertigo in children often stems from viral infections impacting the inner ear.
- Standard treatments include clinical therapy and vestibular rehabilitation, which are effective in most cases.
Observation:
- A child presented with persistent vertigo following a mumps virus infection.
- The vertigo did not resolve with conventional clinical treatment and vestibular rehabilitation.
Findings:
- The child underwent a transcanal labyrinthectomy, a surgical procedure.
- Significant symptom improvement was observed post-surgery and with subsequent vestibular rehabilitation.
Implications:
- Transcanal labyrinthectomy may be a viable surgical option for refractory pediatric vertigo.
- Vestibular rehabilitation is crucial for optimizing outcomes after labyrinthectomy in children.
