Control of Disabling Vertigo in Ménière’s Disease Following Cochlear Implantation without Labyrinthectomy
Rattachement africain : it, fr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The placement of a cochlear implant (CI) can restore auditory function in the case of profound cochlear deafness, which may be due to Ménière's disease (MD) or be associated with symptoms related to endolymphatic hydrops. The usual treatment of disabling vertigo in MD is based on vestibular deafferentation by labyrinth ablation. The aim of the present study was to retrospectively evaluate the efficacy of the CI in the control of disabling vestibular manifestations in the case of MD unresponsive to medical treatments. METHODS: A case series of five MD patients with disabling vestibular manifestations associated with profound hearing loss was included. A complete audio-vestibular evaluation was performed after CI positioning. RESULTS: All patients reported clinical benefits after implant positioning: no vestibular crisis was reported after the surgery. The vHIT and the caloric test showed a normal function or a mild vestibular hypofunction. The auditory performances were comparable to those in the general implanted population. All patients reported subjective tinnitus reduction. CONCLUSIONS: To date, very few studies have reported vestibular outcomes in hydropic pathology on the implanted side; our results are encouraging. We can therefore confirm the efficacy and safety of the CI as a unique treatment for hearing loss, dizziness, and tinnitus in case of disabling cochlear hydrops, especially in those patients where the history of the disease requires preservation of the vestibular function.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Control of Disabling Vertigo in Ménière’s Disease Following Cochlear Implantation without Labyrinthectomy
- Date Crossref
- 22/07/2022
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University of Turin Department of Surgical Sciences pays non établi dans la noticeUniversité ou école supérieure
-
Centre Hospitalier Universitaire de Besançon pays non établi dans la noticeÉtablissement de santé
-
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino pays non établi dans la noticeÉtablissement de santé
-
Centre Hospitalier Universitaire de Grenoble pays non établi dans la noticeÉtablissement de santé
-
Service Otorhinolaryngologie pays non établi dans la noticeOrganisation à but non lucratif
-
Otorinolaringoiatria U pays non établi dans la noticeOrganisation à but non lucratif
Department of Surgical Sciences — University of Turin, Centre Hospitalier Universitaire de Besançon et Azienda Ospedaliera Citta' della Salute e della Scienza di Torino, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.