Analysis of vertigo after simultaneous unilateral endolymphatic sac decompression, lateral semicircular canal occlusion and cochlea implantation in patients with Menière’s Disease

Menière’s disease (MD) is characterised by a combination of vertigo, tinnitus/aural fullness and sensoneurinal low- to medium frequency hearing loss. Considering the International Consenus, a patient-individual symptomatic therapy is suggested. The therapy should be as less destructive as possible. Most cases of MD can be treated conservatively by a lifestyle-change and/or medicamental therapy. However, cases of inadequate control of vertigo, profound hearing loss and reduced quality of life even after these therapy options remain a therapeutical challenge. In these cases, non-destructive surgical therapy is recommended. Endolymphatic sac surgery is seen as a non-destructive surgical therapy option providing control of vertigo and hearing preservation. Semicircular canal occlusion is another effective non-destructive therapy concept pointing on symptomatic control of rotary vertigo. In patients with MD, cochlea implant implantation can lead to higher sound localisation and higher speech perception as well as tinnitus suppression. It is the aim of the study to analyse the vertigo of patients with MD treated with simultaneous unilateral endolymphatic sac decompression, lateral semicircular canal occlusion and cochlea implant implantation.

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Artikel online veröffentlicht:
24. Mai 2022