scholarly journals Cochlear implantation in Meniere’s disease: surgery and outcomes

2018 ◽  
Vol 4 (6) ◽  
pp. 1458
Author(s):  
Kiran Natarajan ◽  
Koka Madhav ◽  
Pabina Rayamajhi ◽  
Divya John Thomas ◽  
R. S. Anand Kumar ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Profound Hearing Loss ◽  
Ménière's Disease ◽  
The Impact

<p class="abstract"><strong>Background:</strong> Sensori-neural hearing loss (SNHL) can be bilateral in 30 to 50% of individuals with Meniere’s disease (MD). The incidence of severe to profound SNHL in MD ranges from 1 to 6%. These individuals are candidates for cochlear implantation (CI).</p><p class="abstract"><strong>Methods:</strong> A retrospective study of 12 patients with profound hearing loss due to Meniere’s disease was done between January 1998 till June 2018 in a tertiary ENT centre in Chennai, India. The patients experienced symptoms of Meniere’s disease for an average of 10 years before CI. All were postlingual candidates. The aim of this study was to determine the effectiveness of cochlear implantation in improving hearing and to assess the impact of CI on vertigo and tinnitus in patients with Meniere’s disease.  </p><p class="abstract"><strong>Results:</strong> Significant hearing improvement with CI was noted in all patients. Resolution of vertigo and reduction of tinnitus was noted. There was no vestibular dysfunction due to CI. In one patient with disabling vertigo, labyrinthectomy combined with CI helped in complete resolution of vertiginous symptoms.</p><p class="abstract"><strong>Conclusions:</strong> Cochlear implantation is an established option for hearing habilitation in patients with Meniere’s disease, with good outcomes. In case there is disabling vertigo, combining labyrinthectomy with CI is recommended.</p>

scholarly journals Simultaneous Labyrinthectomy and Cochlear Implantation for Patients with Single-Sided Ménière’s Disease and Profound Sensorineural Hearing Loss

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
G. Doobe ◽  
A. Ernst ◽  
R. Ramalingam ◽  
P. Mittmann ◽  
I. Todt
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Sensorineural Hearing ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease

Objective.To investigate the treatment outcome of a simultaneous labyrinthectomy and cochlear implantation in patients with single-sided Ménière’s disease and profound sensorineural hearing loss.Study Design.Prospective study.Method.Five patients with single-sided Ménière’s disease with active vertigo and functional deafness were included. In all cases, simultaneous cochlear implantation combined with labyrinthectomy surgery was performed. The outcome has been evaluated by the Dizziness Handicap Inventory (DHI) and speech recognition.Results.The combined labyrinthectomy and cochlear implantation led in all patients to a highly significant reduction of dizziness up to arestitutio ad integrum. After activation of the cochlear implant and rehabilitation, a mean monosyllabic speech understanding of 69% at 65 dB was observed.Conclusion.For patients with single-sided Ménière’s disease and profound sensorineural hearing loss the simultaneous labyrinthectomy and cochlear implantation are efficient method for the treatment of vertigo as well as the rehabilitation of the auditory system.

scholarly journals Good Clinical Approach: Delphi Consensus for the Use of Betahistine in Menière’s Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Augusto Pietro Casani ◽  
Elena Navari ◽  
Giorgio Guidetti ◽  
Michel Lacour
Keyword(s):  
Hearing Loss ◽  
Meniere’S Disease ◽  
Consensus Conference ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Clinical Approach ◽  
Menière's Disease ◽  
Delphi Consensus ◽  
Ménière's Disease

Menière’s disease is a disorder of the inner ear that causes vertigo, tinnitus, fullness, and hearing loss. Several pharmacological treatments are available, but none of them has shown significant results. Betahistine has been largely used but its effect on the main symptoms of Menière’s disease remains unclear. In order to improve clinical appropriateness and to reduce the heterogeneity of the therapeutic approaches for Menière’s disease, we proposed a European Consensus Conference on Betahistine’s prescription. A group of European experts in vestibular disorders completed a questionnaire, prepared by opinion leaders, on the use of betahistine in Menière’s disease. The Delphi method was used as an iterative investigation method in order to increase and establish the consensus. While betahistine was considered useful to reduce the number of the vertigo attacks during the intercritical phase of the disease, its use during attacks was considered helpful only when associated with other drugs. Betahistine was not considered useful for preventing hearing loss. The experts support the use of betahistine during the intercritical phase of the disease to reduce the number and severity of vertigo episodes. They also defined the parameters for a good clinical approach to evaluate the efficacy of betahistine treatment for Menière’s disease.

scholarly journals Sequential Bilateral Cochlear Implantation in a Patient with Bilateral Ménière’s Disease

2012 ◽  
Vol 23 (04) ◽  
pp. 256-268 ◽  
Author(s):  
Laura K. Holden ◽  
J. Gail Neely ◽  
Brenda D. Gotter ◽  
Karen M. Mispagel ◽  
Jill B. Firszt
Keyword(s):  
Speech Recognition ◽  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Bilateral Cochlear Implants ◽  
Ménière's Disease

This case study describes a 45-yr-old female with bilateral, profound sensorineural hearing loss due to Ménière’s disease. She received her first cochlear implant in the right ear in 2008 and the second cochlear implant in the left ear in 2010. The case study examines the enhancement to speech recognition, particularly in noise, provided by bilateral cochlear implants.Speech recognition tests were administered prior to obtaining the second implant and at a number of test intervals following activation of the second device. Speech recognition in quiet and noise as well as localization abilities were assessed in several conditions to determine bilateral benefit and performance differences between ears. The results of the speech recognition testing indicated a substantial improvement in the patient’s ability to understand speech in noise and her ability to localize sound when using bilateral cochlear implants compared to using a unilateral implant or an implant and a hearing aid. In addition, the patient reported considerable improvement in her ability to communicate in daily life when using bilateral implants versus a unilateral implant.This case suggests that cochlear implantation is a viable option for patients who have lost their hearing to Ménière’s disease even when a number of medical treatments and surgical interventions have been performed to control vertigo. In the case presented, bilateral cochlear implantation was necessary for this patient to communicate successfully at home and at work.

Cochlear implantation in patients with definite Meniere’s disease

2016 ◽  
Vol 274 (2) ◽  
pp. 751-756 ◽  
Author(s):  
Nils Kristian Prenzler ◽  
Eva Bültmann ◽  
Alexandros Giourgas ◽  
Melanie Steffens ◽  
Rolf Benedikt Salcher ◽  
...  
Keyword(s):  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease

Drug treatment of vertigo and ménière’s disease cinnarizine and betahistine

1981 ◽  
Vol 19 (5) ◽  
pp. 17-18
Keyword(s):  
Hearing Loss ◽  
Drug Treatment ◽  
Vestibular Function ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease ◽  
Attacks Of Vertigo

Vertigo and dizziness are major symptoms of disturbed vestibular function. Sudden attacks of vertigo, associated with tinnitus and sensorineural hearing loss, occur in a wide variety of disorders of the inner ear, and when no underlying cause can be found the condition is termed ménière’s disease.

Cochlear Implantation in Patients With Menière's Disease: Does Disease Activity Affect the Outcome?

2020 ◽  
Vol 41 (9) ◽  
pp. 1296-1304
Author(s):  
Armine Kocharyan ◽  
Michelle E. Mark ◽  
Mustafa S. Ascha ◽  
Gail S. Murray ◽  
Nauman F. Manzoor ◽  
...  
Keyword(s):  
Disease Activity ◽  
Cochlear Implantation ◽  
Meniere’S Disease ◽  
Menière’S Disease ◽  
Meniere's Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease
Sign in / Sign up

Export Citation Format

Share Document