Cochlear implantation in Meniere's disease

Jacob B. Hunter, Brendan P. O׳Connell, David S. Haynes

Research output: Contribution to journalArticle

Abstract

Meniere's disease (MD) is characterized by fluctuating hearing loss, episodic vertigo, tinnitus, and aural fullness. Whether secondary to intervention or to natural disease progression, a considerable subset of patients with MD has nonserviceable hearing in at least one ear. As such, cochlear implantation counseling and decision-making in the setting of MD must take into account the patient׳s surgical history. In patients who have undergone prior surgical labyrinthectomy, particular care must be taken in identifying the incus and facial nerve as the lateral semicircular canal has been removed. Labyrinthectomy and cochlear implantation can also be performed simultaneously, with most authors identifying and exposing the round window through a posterior tympanotomy before undertaking the labyrinthectomy. Although there were initial concerns regarding audiometric outcomes due to neural damage or ossification following implantation after a prior labyrinthectomy, studies have shown that the audiologic benefits are similar to the general postlingually deafened adult population.

Original languageEnglish (US)
Pages (from-to)205-209
Number of pages5
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Volume27
Issue number4
DOIs
StatePublished - Dec 1 2016

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Cochlear Implantation
Meniere Disease
Incus
Semicircular Canals
Tinnitus
Facial Nerve
Hearing Loss
Osteogenesis
Hearing
Ear
Disease Progression
Counseling
Decision Making
History
Population

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Cochlear implantation in Meniere's disease. / Hunter, Jacob B.; O׳Connell, Brendan P.; Haynes, David S.

In: Operative Techniques in Otolaryngology - Head and Neck Surgery, Vol. 27, No. 4, 01.12.2016, p. 205-209.

Research output: Contribution to journalArticle

Hunter, Jacob B. ; O׳Connell, Brendan P. ; Haynes, David S. / Cochlear implantation in Meniere's disease. In: Operative Techniques in Otolaryngology - Head and Neck Surgery. 2016 ; Vol. 27, No. 4. pp. 205-209.
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