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Disability after labyrinthectomy

K D Pereira¹, A G Kerr

¹Department of Otolaryngology, Royal Victoria Hospital, Belfast.

The Journal of Laryngology and Otology

|March 1, 1996

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Labyrinthectomy effectively relieved vertigo in 89% of Meniere

Area of Science:

Otolaryngology
Neurosurgery
Vestibular Disorders

Background:

Meniere's disease often causes debilitating vertigo.
Labyrinthectomy is a surgical option for intractable vertigo with poor hearing.
Successful vertigo relief is presumed to improve quality of life and return to work.

Purpose of the Study:

To evaluate the long-term success of transmastoid drill-out labyrinthectomy.
To assess patient return to work post-labyrinthectomy.
To identify predictors of return to work after vertigo control.

Main Methods:

Retrospective review of 18 patients undergoing labyrinthectomy (1980-1990).
Patient interviews to assess outcomes.
Evaluation of success using American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1985 guidelines.

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Main Results:

Vertigo relief achieved in 89% of patients.
Only 50% of patients returned to work.
Age, occupation, and vertigo relief did not predict return to work.

Conclusions:

Labyrinthectomy is highly effective for vertigo control in Meniere's disease.
Return to work is significantly lower than vertigo relief rates.
Further research is needed to understand factors influencing vocational rehabilitation post-surgery.