Simultaneous Cochlear Implantation and Labyrinthine Surgery for Meniere Disease: Endolymphatic Sac Decompression Versus Labyrinthectomy

Patients with medically refractory Meniére disease (MD) may present with concomitant vertigo attacks and severe-profound hearing loss (SNHL). In such cases, simultaneous labyrinthectomy/cochlear implantation (CI) is a viable treatment option. Simultaneous endolymphatic sac decompression (ESD) and CI is less well described but represents a promising alternative....

For surgeons and audiologists managing medically refractory Ménière disease with severe-profound hearing loss, this comparative study provides early data on combining CI with either endolymphatic sac decompression or labyrinthectomy — findings should be weighed cautiously given likely small sample sizes and retrospective design.

Simultaneous cochlear implantation with labyrinthine surgery is a niche but growing approach for refractory Ménière disease, and comparative outcome data between procedures directly informs surgical planning and audiological rehabilitation.

1. 01Study compares two simultaneous surgical strategies: endolymphatic sac decompression vs. labyrinthectomy alongside CI.
2. 02Target population is patients with medically refractory Ménière disease and severe-profound hearing loss.
3. 03Published ahead of print in Otolaryngology–Neurotology (2026).
4. 04Results may guide selection between the two surgical approaches.
5. 05Retrospective or small-cohort design limits strength of conclusions.

PMID

42132468

DOI

10.1097/MAO.0000000000004861.

Journal

Otology & Neurotology

Publication type

research_article

Evidence level

4

Population

Patients with medically refractory Ménière disease and severe-profound hearing loss

Intervention

Simultaneous cochlear implantation with endolymphatic sac decompression or labyrinthectomy

Comparator

Endolymphatic sac decompression vs. labyrinthectomy