Simultaneous labyrinthectomy with cochlear implantation in a patient with bilateral Méniere’s disease

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Paula Silva R.
Francisco Tocornal J.
Tomás Labatut P.

Keywords

Ménière’s disease, bilateral, cochlear implantation, labyrinthectomy, si¬multaneous

Abstract

Patients with Ménière’s disease represent a therapeutical problem for physicians, especially in those who do not respond to conservative approaches. We report the case of a 45-year-old male with bilateral Ménière’s disease, active in the left ear, who un­derwent simultaneous cochlear implantation combined with labyrinthectomy surgery. Audiometric and clinical results were evaluated, 9 months after the activation of the implant the patient’s PTA was 21 dB, with 92% disyllabic word’s discrimination at 45 dB in the implanted ear, without tinnitus or vestibular symptoms. The combined surgical labyrinthectomy and cochlear implantation are efficient for the treatment of vestibular and audiological symptoms of the patient.

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