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Labyrinthectomy: Our Experience in a Tertiary Care Centre
K C Prasad1, Indu Varsha Gopi1, T R Harshitha1
1Department of ENT and HNS, Sri Devraj Urs Medical College and Research Centre, Tamka, Kolar, India.
Summary
Surgical labyrinthectomy effectively treats vestibular dysfunction when hearing is poor. This procedure removes the inner ear
Area of Science:
- Otolaryngology
- Neurosurgery
- Vestibular Science
Background:
- Unilateral peripheral vestibular dysfunction can significantly impair quality of life.
- Labyrinthectomy is a surgical option for managing severe cases with non-serviceable hearing.
- This study reviews institutional experience with labyrinthectomy.
Purpose of the Study:
- To evaluate the outcomes of surgical labyrinthectomy in patients with specific inner ear conditions.
- To analyze the diverse patient demographics and disease presentations treated with labyrinthectomy.
Main Methods:
- Retrospective review of 8 patients undergoing labyrinthectomy between 2013-2018.
- Procedures included radical mastoidectomy with total labyrinthectomy and blind sac closure in select cases.
- Patient conditions included extensive cholesteatoma, purulent labyrinthitis, and tuberculosis.
Main Results:
- All patients presented with profound unilateral sensorineural hearing loss.
- Most patients had a history of giddiness, but lacked current symptoms or nystagmus.
- Diverse age range (2-48 years) and complex pathologies were managed.
Conclusions:
- Surgical labyrinthectomy is a viable treatment for poorly compensated unilateral vestibular dysfunction with hearing loss.
- The procedure can be safely performed in a range of complex inner ear pathologies.
- Management requires careful consideration of underlying conditions, including infectious etiologies like tuberculosis.
