Ménière disease (MD) may progress to disabling vertigo and severe hearing loss despite conservative management. In patients with nonserviceable hearing, labyrinthectomy can provide effective vertigo control, while cochlear implantation (CI) offers the potential for auditory rehabilitation....
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Discussion
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Combined labyrinthectomy and cochlear implantation appears to be a viable option for Ménière disease patients with both disabling vertigo and nonserviceable hearing; audiologists involved in CI candidacy evaluation should be aware this pathway exists, though long-term outcomes data remain limited.
This systematic review synthesizes evidence for a procedure that directly addresses both the disabling vestibular and auditory consequences of end-stage Ménière disease, potentially expanding CI candidacy criteria.
- 01Systematic review of labyrinthectomy combined with cochlear implantation for Ménière disease.
- 02Target population: patients with disabling vertigo AND nonserviceable (too poor to be useful) hearing.
- 03Published in Otology & Neurotology.
- 04Addresses vertigo control and hearing rehabilitation simultaneously in one surgery.
- 05Evidence base may be limited by small individual study sizes typical of this rare procedure.
Combined labyrinthectomy and cochlear implantation is an effective treatment for Ménière disease patients with disabling vertigo and nonserviceable hearing.
studypartially supportedLabyrinthectomy with simultaneous cochlear implantation is safe in Ménière disease patients.
studypartially supported- PMID
- 42715356
- DOI
- 10.1097/MAO.0000000000005066.
- Journal
- Otology & Neurotology
- Publication type
- review
- Evidence level
- 1a
- Population
- Ménière disease patients with disabling vertigo and nonserviceable hearing undergoing labyrinthectomy with cochlear implantation
- Intervention
- Labyrinthectomy combined with cochlear implantation
Primary outcomes
Vertigo control; Hearing rehabilitation outcomes post-cochlear implantation