Treatment of Meniere's disease with simultaneous triple semicircular canal occlusion and cochlear implantation

Qianwen Xiao; Qiong Wu; Qin Zhang; Jingchun He; Yupeng Liu; Jiali Shen; Jingrong Lv; Maoli Duan; Jose A Lopez-Escamez; Jun Yang; Qing Zhang

doi:10.1007/s00405-023-08387-x

Treatment of Meniere's disease with simultaneous triple semicircular canal occlusion and cochlear implantation

Eur Arch Otorhinolaryngol. 2024 Mar;281(3):1603-1608. doi: 10.1007/s00405-023-08387-x. Epub 2023 Dec 27.

Authors

Qianwen Xiao^#^{1

2

3

4}, Qiong Wu^#^{1

2

3}, Qin Zhang^{1

2

3}, Jingchun He^{1

2

3}, Yupeng Liu^{1

2

3}, Jiali Shen^{1

2

3}, Jingrong Lv^{1

2

3}, Maoli Duan⁵, Jose A Lopez-Escamez^{6

7

8}, Jun Yang^{9

10

11}, Qing Zhang^{12

13

14}

Affiliations

¹ Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
² Shanghai Jiaotong University School of Medicine Ear Institute, Shanghai, China.
³ Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, China.
⁴ Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai 411 Hospital, China RongTong Medical Healthcare Group Co. Ltd., Shanghai, China.
⁵ Department of Otolaryngology-Head and Neck Surgery, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden.
⁶ Meniere's Disease Neuroscience Research Program, Faculty of Medicine and Health, School of Medical Sciences, The Kolling Institute, University of Sydney, Sydney, NSW, Australia. jose.lopezescamez@sydney.edu.au.
⁷ Otology and Neurotology Group CTS495, Department of Genomic Medicine, Centre for Genomics and Oncology Research, Pfizer/Universidad de Granada/Junta de Andalucía (GENyO), PTS, Granada, Spain. jose.lopezescamez@sydney.edu.au.
⁸ Division of Otolaryngology, Department of Surgery, Instituto de Investigación Biosanitaria Ibs. GRANADA, Universidad de Granada, Granada, Spain. jose.lopezescamez@sydney.edu.au.
⁹ Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. yangjun@xinhuamed.com.cn.
¹⁰ Shanghai Jiaotong University School of Medicine Ear Institute, Shanghai, China. yangjun@xinhuamed.com.cn.
¹¹ Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, China. yangjun@xinhuamed.com.cn.
¹² Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. zhangqing03@xinhuamed.com.cn.
¹³ Shanghai Jiaotong University School of Medicine Ear Institute, Shanghai, China. zhangqing03@xinhuamed.com.cn.
¹⁴ Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, China. zhangqing03@xinhuamed.com.cn.

^# Contributed equally.

PMID: 38150022
DOI: 10.1007/s00405-023-08387-x

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.

Keywords: Cochlear implantation; Meniere’s disease; Sensorineural hearing loss; Triple semicircular canal occlusion; Vertigo.

MeSH terms

Cochlear Implantation*
Hearing
Hearing Loss, Sensorineural* / etiology
Hearing Loss, Sensorineural* / surgery
Humans
Meniere Disease* / complications
Meniere Disease* / surgery
Semicircular Canals / surgery
Vertigo / etiology
Vertigo / surgery

Abstract

MeSH terms

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