CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S168
DOI: 10.1055/s-0038-1640294
Abstracts
Otologie: Otology

Lateral Semicircular Canal Occlusion, Saccus Decompression And Cochlear Implantation: A New Approach For Refractory Menière's Disease And Functional Deafness

G Doobe
1   Unfallklinikum, HNO-Klinik, Berlin
,
A Ernst
1   Unfallklinikum, HNO-Klinik, Berlin
,
I Todt
1   Unfallklinikum, HNO-Klinik, Berlin
,
P Mittmann
1   Unfallklinikum, HNO-Klinik, Berlin
› Author Affiliations
 

Introduction:

For decompensated vestibular symptoms in cases of Menière's disease and single-sided functional deafness the combination of vestibular surgery and cochlear implantation can be reasonable approach. The objective of this study was the investigation of the success of a lateral semicircular canal occlusion with saccus decompression and cochlear implantation.

Methods:

Seven patients with recurrent attacks of vertigo and severe sensorineural hearing loss caused by refractory Menière's disease were treated by the mostly one-stage lateral semicircular canal occlusion, saccus decompression and cochlear implantation. In three patients both sides were affected. The success of this method was evaluated by the Dizziness-Handicap-Inventory (DHI) performed preoperatively, postoperatively and after six weeks.

Results:

Prior to surgery the DHI of all patients indicated distinct physical, emotional and functional deficits. After surgery the impairment could be reduced in all cases even in case of bilateral affection. Regular to good audiological outcome could be achieved by cochlear implantation. Partial preservation of residual hearing was possible.

Conclusion:

The combination of lateral semicircular canal occlusion, saccus decompression and cochlear implantation can be an effective option for patients with Menière's disease and severe hearing loss if vertigo symptoms cannot be treated conservatively. Because of the rather atraumatic lateral semicircular canal occlusion this method is possible even in cases of bilateral affection. Compared to the labyrinthectomy or triple semicircular canal occlusion it is the most atraumatic approach with similar effectiveness.



Publication History

Publication Date:
18 April 2018 (online)

© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Stuttgart · New York