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Vertigo improves with endolymphatic sac surgery, cochlear implant in Meniere disease

Vertigo improves with endolymphatic sac surgery, cochlear implant in meniere

For patients with Meniere disease (MD), vertigo control is improved with endolymphatic sac surgery alone (ESSalone), cochlear implantation alone (CIalone), and ESS with CI (ESS+CI), with the highest rate for CIalone, according to a study published online July 20 in the European Archives of Oto-Rhino-Laryngology.

Jennifer L. Spiegel, M.D., from University Hospital in Munich, Germany, and colleagues conducted a retrospective data analysis of 86 consecutive patients with MD according to current diagnostic criteria after ESSalone, CIalone, and ESS+CI (45, 12, and 29 patients, respectively) treated at a tertiary referral center.

The researchers found that patients in the ESSalone group had younger age compared with CIalone or ESS+CI (56.2 ± 13.0 years versus 64.2 ± 11.4 and 63.1 ± 9.7 years, respectively). Definitive MD was seen in 100, 79.3, and 59.6 percent of the CIalone, ESS+CI, and ESSalone patients, respectively. The rate of vertigo control was 100, 89.7, and 66.0 percent in the CIalone, ESS+CI, and ESSalone groups, respectively.

“Data from the current study showed vertigo improvement after both ESS and CI,” the authors write. “However, it suggests a beneficial effect of CI surgery in comparison with ESS regarding vertigo control, potentially contributed by the manipulation of both the endo- and perilymphatic system.”

One author received travel expenses from pharmaceutical companies.

More information:
Jennifer L. Spiegel et al, Significance of endolymphatic sac surgery with and/or without simultaneous cochlea implant surgery in respect of vertigo control and speech perception in patients with Menière’s disease, European Archives of Oto-Rhino-Laryngology (2023). DOI: 10.1007/s00405-023-08122-6

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  • Posted on August 7, 2023