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Simultaneous Labyrinthectomy and Cochlear Implantation in Patients With Refractory Ménière's Disease
Robert J Macielak1, Markus E Harrigan1, Vivian F Kaul2
1Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
The Annals of Otology, Rhinology, and Laryngology
|May 14, 2025
Summary
Simultaneous labyrinthectomy and cochlear implantation (CI) effectively controlled vertigo in 96% of refractory Ménière
Area of Science:
- Otolaryngology
- Neurosurgery
- Audiology
Background:
- Ménière's disease (MD) is a challenging inner ear disorder.
- Refractory MD significantly impacts quality of life.
- Surgical interventions are considered for intractable symptoms.
Purpose of the Study:
- To evaluate the safety and efficacy of combined labyrinthectomy and cochlear implantation (CI).
- To assess outcomes in patients with refractory Ménière's disease.
Main Methods:
- Retrospective review of 24 patients with refractory MD.
- Simultaneous transmastoid labyrinthectomy and CI performed.
- Clinical and audiometric outcomes were analyzed.
Main Results:
- 96% of patients achieved complete vertigo resolution.
- Auditory outcomes showed improvement in speech perception scores (CNC and AzBio).
- Sound localization improved with CI compared to CI-off conditions.
Conclusions:
- Simultaneous labyrinthectomy and CI is a safe and effective treatment for refractory MD.
- The combined procedure offers excellent vertigo control and facilitates aural rehabilitation.
- Further research is recommended to validate this treatment approach.
