Treatment of Meniere’s Disease with Simultaneous Triple Semicircular Canal Occlusion and Cochlear Implantation

European Archives of Oto-Rhino-Laryngology(2023)

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Abstract
Objective Report three cases of simultaneous triple semicircular canal occlusion (TSCO) and cochlear implantation (CI) as the treatment of intractable Meniere’s disease (MD). Case reports Patients with MD can present occasionally with intractable vertigo and profound sensorineural hearing loss (SNHL). TSCO and CI have been proposed to control vertigo and restore profound deafness in patients with MD separately. However, a few studies have reported simultaneous TSCO and CI in the same surgical procedure for the treatment of MD. In the present study, we described three patients with MD showing incapacitating vertigo and severe SNHL who underwent simultaneous TSCO and CI after examinations of auditory system, vestibular system, and imaging. Their symptoms were significantly alleviated during the follow-up period. Conclusion The combined TSCO and CI remains a viable treatment option which is effective for the control of vertigo as well as the restoring of hearing in patients with MD.
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Key words
Meniere’s disease,Triple semicircular canal occlusion,Cochlear implantation,Vertigo,Sensorineural hearing loss
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