Hostname: page-component-6766d58669-h8lrw Total loading time: 0 Render date: 2026-05-19T08:41:40.612Z Has data issue: false hasContentIssue false
  • English
  • Français

Contralateral cochlear implantation prior to vestibular nerve section for ‘drop attacks’ in the only hearing ear

Published online by Cambridge University Press:  26 March 2015

J Shi  and
T Kertesz
J Shi*
Affiliation:
Department of Otolaryngology, Prince of Wales Hospital and Sydney Children's Hospital, New South Wales, Australia
T Kertesz
Affiliation:
Department of Otolaryngology, Prince of Wales Hospital and Sydney Children's Hospital, New South Wales, Australia
*
Address for correspondence: Dr Jing Shi, Sydney Children's Hospital, High St, Randwick, NSW 2031, Australia E-mail: jing.shi@sesiahs.health.nsw.gov.au
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

A dilemma occurs in the treatment of second-sided Ménière's disease in the only hearing ear, particularly in patients with severe symptoms such as ‘drop attacks’. This paper describes a patient treated with contralateral cochlear implantation prior to vestibular nerve section of the symptomatic ear.

Case report:

A 53-year-old man, with second-sided Ménière's disease and drop attacks in the only serviceable right ear, underwent successful left cochlear implantation 30 years after hearing loss, followed by right vestibular nerve section. The patient achieved control of Ménière's attacks and improved hearing. Although the patient experienced oscillopsia post-operatively, he was satisfied with his improved everyday functioning.

Conclusion:

Patients with severe second-sided Ménière's disease in the only hearing ear are a small but difficult treatment group. In those that are suitable for cochlear implantation in the non-serviceable ear, it is suggested that this be employed prior to surgical treatment of the Ménière's symptoms, even if the implanted ear has had no auditory stimulation for many years.

Keywords

Meniere DiseaseSyncopeVestibular NerveCochlear ImplantHearing Loss

Information

Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 129 , Supplement S3 , July 2015 , pp. S58 - S60
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1American Academy of Otolaryngology - Head and Neck Foundation. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere's disease. Otolaryngol Head Neck Surg 1995;113:181–5CrossRefGoogle Scholar
2Baloh, RW, Jacobson, K, Winder, T. Drop attacks with Meniere's syndrome. Ann Neurol 1990;28:384–7CrossRefGoogle ScholarPubMed
3Janzen, VD, Russell, RD. Conservative management of Tumarkin's otolithic crisis. J Otolaryngol 1988;17:359–61Google ScholarPubMed
4Black, FL, Effron, MZ, Burns, DS. Diagnosis and management of drop attacks of vestibular origin: Tumarkin's otolithic crises. Otolaryngol Head Neck Surg 1982;90:256–62CrossRefGoogle Scholar
5Huppert, D, Strupp, M, Brandt, T. Long-term course of Meniere's disease revisited. Acta Otolaryngol 2010;130:644–51CrossRefGoogle ScholarPubMed
6Viana, LM, Bahmad, F Jr, Rauch, SD. Intratympanic gentamicin as a treatment for drop attacks in patients with Meniere's disease. Laryngoscope 2014;124:2151–4CrossRefGoogle ScholarPubMed
7Fife, TA, Lewis, MP, May, JS, Oliver, ER. Cochlear implantation in Ménière's disease. JAMA Otolaryngol Head Neck Surg 2014;140:535–9CrossRefGoogle ScholarPubMed
8Lustig, LR, Yeagle, J, Niparkao, JK, Minor, LB. Cochlear implantation in patients with bilateral Meniere's syndrome. Otol Neurotol 2003;24:397–403CrossRefGoogle ScholarPubMed
9Osborn, HA, Yeung, R, Lin, VY. Delayed cochlear implantation after surgical labyrinthectomy. J Laryngol Otol 2012;126:63–5CrossRefGoogle ScholarPubMed
10Thedinger, BA, Cueva, RA, Glascock, ME. Treatment of an acoustic neuroma in an only-hearing ear: case reports and considerations for the future. Laryngoscope 1993;103:976–80CrossRefGoogle Scholar
11Harner, S, Driscoll, C, Facer, G, Beatty, C, McDonald, T. Long-term follow-up of transtympanic gentamicin for Meniere's syndrome. Otol Neurotol 2001;22:210–14CrossRefGoogle ScholarPubMed
12Wu, I, Minor, L. Long-term hearing outcome in patients receiving intratympanic gentamicin for Meniere's disease. Laryngoscope 2003;113:815–20CrossRefGoogle ScholarPubMed
13McElveen, JT, Shelton, C, Hitselberger, WE, Brackmann, DE. Retrolabyrinthine vestibular neurectomy: a reevaluation. Laryngoscope 1988;98:502–6CrossRefGoogle ScholarPubMed
14Colletti, V, Carner, M, Colletti, L. Auditory results after vestibular nerve section and intratympanic gentamicin for Meniere's disease. Otol Neurotol 2007;28:145–51CrossRefGoogle ScholarPubMed
15Hillman, TA, Chen, DA, Arriaga, MA. Vestibular nerve section versus intratympanic gentamicin for Meniere's disease. Laryngoscope 2004;114:216–22CrossRefGoogle ScholarPubMed
16Della Santina, CC, Migliaccio, AA, Hayden, R. Current and future management of bilateral loss of vestibular sensation - an update on the Johns Hopkins Multichannel Vestibular Prosthesis Project. Cochlear Implants Int 2010;11:2–11CrossRefGoogle Scholar