Cargando…

Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series

The surgical options for patients with single-sided Menière’s disease and functional deafness are challenging. Our case series reports the outcomes of surgical treatments of patients with single-sided Menière’s disease and functional deafness. These patients have undergone a one-staged occlusion of...

Descripción completa

Detalles Bibliográficos
Autores principales: Jacob, Ronny, Lauer, Gina, Ernst, Arneborg, Seidl, Rainer, Kiefer, Lenneke, Mittmann, Philipp
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10488600/
https://www.ncbi.nlm.nih.gov/pubmed/37685566
http://dx.doi.org/10.3390/jcm12175500
_version_ 1785103514327842816
author Jacob, Ronny
Lauer, Gina
Ernst, Arneborg
Seidl, Rainer
Kiefer, Lenneke
Mittmann, Philipp
author_facet Jacob, Ronny
Lauer, Gina
Ernst, Arneborg
Seidl, Rainer
Kiefer, Lenneke
Mittmann, Philipp
author_sort Jacob, Ronny
collection PubMed
description The surgical options for patients with single-sided Menière’s disease and functional deafness are challenging. Our case series reports the outcomes of surgical treatments of patients with single-sided Menière’s disease and functional deafness. These patients have undergone a one-staged occlusion of all semi-circular canals and cochlear implantation. Five patients (four female and one male; 62 ± 8.2 years with a range from 50 to 72 years) with single-sided Menière’s disease and functional deafness were included in this study. In all cases, the patients suffered from frequent rotational vertigo episodes for many years. Other treatment options (e.g., medication) had not yet been successful. Preoperatively, the Dizziness Handicap Inventory (DHI) of all patients indicated severe emotional, physical, and functional deficits. Patients showed a functional (near-total) deafness of the affected ear in all cases. All patients were supplied with cochlear implants in combination with a triple occlusion of all semi-circular canals in a one-stage procedure. After a short period of increased dizziness following surgery and after the activation of the cochlear implant and CI rehabilitation (auditory-verbal therapy), vertigo control and an adequate audiological outcome were achieved. The DHI showed a constant decrease after surgery. The combination of a triple semi-circular canal occlusion and cochlear implantation can be an efficient treatment for patients with single-sided Menière’s disease.
format Online
Article
Text
id pubmed-10488600
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-104886002023-09-09 Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series Jacob, Ronny Lauer, Gina Ernst, Arneborg Seidl, Rainer Kiefer, Lenneke Mittmann, Philipp J Clin Med Brief Report The surgical options for patients with single-sided Menière’s disease and functional deafness are challenging. Our case series reports the outcomes of surgical treatments of patients with single-sided Menière’s disease and functional deafness. These patients have undergone a one-staged occlusion of all semi-circular canals and cochlear implantation. Five patients (four female and one male; 62 ± 8.2 years with a range from 50 to 72 years) with single-sided Menière’s disease and functional deafness were included in this study. In all cases, the patients suffered from frequent rotational vertigo episodes for many years. Other treatment options (e.g., medication) had not yet been successful. Preoperatively, the Dizziness Handicap Inventory (DHI) of all patients indicated severe emotional, physical, and functional deficits. Patients showed a functional (near-total) deafness of the affected ear in all cases. All patients were supplied with cochlear implants in combination with a triple occlusion of all semi-circular canals in a one-stage procedure. After a short period of increased dizziness following surgery and after the activation of the cochlear implant and CI rehabilitation (auditory-verbal therapy), vertigo control and an adequate audiological outcome were achieved. The DHI showed a constant decrease after surgery. The combination of a triple semi-circular canal occlusion and cochlear implantation can be an efficient treatment for patients with single-sided Menière’s disease. MDPI 2023-08-24 /pmc/articles/PMC10488600/ /pubmed/37685566 http://dx.doi.org/10.3390/jcm12175500 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Jacob, Ronny
Lauer, Gina
Ernst, Arneborg
Seidl, Rainer
Kiefer, Lenneke
Mittmann, Philipp
Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series
title Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series
title_full Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series
title_fullStr Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series
title_full_unstemmed Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series
title_short Triple Semi-Circular Canal Occlusion and Cochlear Implantation: A Treatment Option for Single-Sided Menière’s Disease with Functional Deafness—A Case Series
title_sort triple semi-circular canal occlusion and cochlear implantation: a treatment option for single-sided menière’s disease with functional deafness—a case series
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10488600/
https://www.ncbi.nlm.nih.gov/pubmed/37685566
http://dx.doi.org/10.3390/jcm12175500
work_keys_str_mv AT jacobronny triplesemicircularcanalocclusionandcochlearimplantationatreatmentoptionforsinglesidedmenieresdiseasewithfunctionaldeafnessacaseseries
AT lauergina triplesemicircularcanalocclusionandcochlearimplantationatreatmentoptionforsinglesidedmenieresdiseasewithfunctionaldeafnessacaseseries
AT ernstarneborg triplesemicircularcanalocclusionandcochlearimplantationatreatmentoptionforsinglesidedmenieresdiseasewithfunctionaldeafnessacaseseries
AT seidlrainer triplesemicircularcanalocclusionandcochlearimplantationatreatmentoptionforsinglesidedmenieresdiseasewithfunctionaldeafnessacaseseries
AT kieferlenneke triplesemicircularcanalocclusionandcochlearimplantationatreatmentoptionforsinglesidedmenieresdiseasewithfunctionaldeafnessacaseseries
AT mittmannphilipp triplesemicircularcanalocclusionandcochlearimplantationatreatmentoptionforsinglesidedmenieresdiseasewithfunctionaldeafnessacaseseries