Skip to main content

Advertisement

SpringerLink
Log in

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

  • Case Report
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

References

  1. Lopez-Escamez JA, Carey J, Chung WH et al (2015) Diagnostic criteria for Meniere’s disease. J Vestib Res 25(1):1–7

    Article  PubMed  Google Scholar 

  2. Lopez-Escamez JA, Vela J, Frejo L (2023) Immune-related disorders associated with Meniere’s disease: a systematic review and meta-analysis. Otolaryngol Head Neck Surg. https://doi.org/10.1002/ohn.386

    Article  PubMed  Google Scholar 

  3. Parra-Perez AM, Lopez-Escamez JA (2023) Types of inheritance and genes associated with familial Meniere disease. J Assoc Res Otolaryngol. https://doi.org/10.1007/s10162-023-00896-0

    Article  PubMed  PubMed Central  Google Scholar 

  4. Schuknecht HF (1984) The pathophysiology of Meniere’s disease. Am J Otol 5(6):526–527

    CAS  PubMed  Google Scholar 

  5. Basura GJ, Adams ME, Monfared A et al (2020) Clinical practice guideline: Meniere’s disease. Otolaryngol Head Neck Surg 162(2_suppl):S1–S55

    PubMed  Google Scholar 

  6. Espinosa-Sanchez JM, Lopez-Escamez JA (2020) The pharmacological management of vertigo in Meniere disease. Expert Opin Pharmacother 21(14):1753–1763

    Article  PubMed  Google Scholar 

  7. Wright T (2015) Meniere’s disease. BMJ Clin Evid 2015:0505

    PubMed  PubMed Central  Google Scholar 

  8. Nevoux J, Franco-Vidal V, Bouccara D et al (2017) Diagnostic and therapeutic strategy in Meniere’s disease. Guidelines of the French otorhinolaryngology-head and neck surgery society (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis 134(6):441–444

    Article  CAS  PubMed  Google Scholar 

  9. Fife TA, Lewis MP, May JS et al (2014) Cochlear implantation in Meniere’s disease. JAMA Otolaryngol Head Neck Surg 140(6):535–539

    Article  PubMed  Google Scholar 

  10. Mick P, Amoodi H, Arnoldner C et al (2014) Cochlear implantation in patients with advanced Meniere’s disease. Otol Neurotol 35(7):1172–1178

    Article  PubMed  Google Scholar 

  11. Lustig LR, Yeagle J, Niparko JK et al (2003) Cochlear implantation in patients with bilateral Meniere’s syndrome. Otol Neurotol 24(3):397–403

    Article  PubMed  Google Scholar 

  12. Yin S, Chen Z, Yu D et al (2008) Triple semicircular canal occlusion for the treatment of Meniere’s disease. Acta Otolaryngol 128(7):739–743

    Article  PubMed  Google Scholar 

  13. Loureiro RM, Sumi DV, Lemos MD et al (2019) (2019) The role of magnetic resonance imaging in Meniere disease: the current state of endolymphatic hydrops evaluation. Einstein (Sao Paulo) 17(1):eMD4743

    Article  PubMed  Google Scholar 

  14. Perez-Carpena P, Lopez-Escamez JA (2020) Current understanding and clinical management of Meniere’s disease: a systematic review. Semin Neurol 40(1):138–150

    Article  PubMed  Google Scholar 

  15. Küppers P, Ahrens H, Blessing R (1994) Continuous intratympanic gentamycin infusion in Meniere disease. HNO 42(7):429–433

    PubMed  Google Scholar 

  16. Doobe G, Ernst A, Ramalingam R et al (2015) Simultaneous labyrinthectomy and cochlear implantation for patients with single-sided Meniere’s disease and profound sensorineural hearing loss. Biomed Res Int 2015:457318

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Silverstein H, Jackson LE (2002) Vestibular nerve section. Otolaryngol Clin North Am 35(3):655–673

    Article  PubMed  Google Scholar 

  18. Zhang Y, Cheng Y, Chen Z et al (2021) Case report: preservation of otolithic function after triple semicircular canal occlusion in a patient with intractable Meniere disease. Front Neurol 12:713275

    Article  PubMed  PubMed Central  Google Scholar 

  19. Jiang Y, Xu M, Yao Q et al (2022) Changes of vestibular symptoms in Meniere’s disease after triple semicircular canal occlusion: a long-term follow-up study. Front Neurol 13:797699

    Article  PubMed  PubMed Central  Google Scholar 

  20. Vallés-Varela H, Royo-López J, Carmen-Sampériz L et al (2013) The cochlear implant as a tinnitus treatment. Acta Otorrinolaringol Esp 64(4):253–257

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank all the subjects who participated in this study.

Funding

This study was supported by the National Natural Science Foundation of China (Nos. 82171137, 81970891, and 81970876), The Key International Cooperation Project of Shaanxi Province (Grant No. 2020-KWZ-019), Technology Project of Shanghai Science and Technology Commission (Grant No. 21S31900600), and Clinical Research Plan of SHDC (Grant No. SHDC2022CRD013).

Author information

Author notes

  1. Qianwen Xiao and Qiong Wu have contributed equally to this work.

Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Qianwen Xiao, Qiong Wu, Qin Zhang, Jingchun He, Yupeng Liu, Jiali Shen, Jingrong Lv, Jun Yang & Qing Zhang

  2. Shanghai Jiaotong University School of Medicine Ear Institute, Shanghai, China

    Qianwen Xiao, Qiong Wu, Qin Zhang, Jingchun He, Yupeng Liu, Jiali Shen, Jingrong Lv, Jun Yang & Qing Zhang

  3. Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, China

    Qianwen Xiao, Qiong Wu, Qin Zhang, Jingchun He, Yupeng Liu, Jiali Shen, Jingrong Lv, Jun Yang & Qing Zhang

  4. Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai 411 Hospital, China RongTong Medical Healthcare Group Co. Ltd., Shanghai, China

    Qianwen Xiao

  5. Department of Otolaryngology-Head and Neck Surgery, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden

    Maoli Duan

  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 A Lopez-Escamez

  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 A Lopez-Escamez

  8. Division of Otolaryngology, Department of Surgery, Instituto de Investigación Biosanitaria Ibs. GRANADA, Universidad de Granada, Granada, Spain

    Jose A Lopez-Escamez

Authors
  1. Qianwen Xiao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Qiong Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Qin Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jingchun He
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yupeng Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jiali Shen
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Jingrong Lv
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Maoli Duan
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Jose A Lopez-Escamez
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Jun Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Qing Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Investigation, QX; data collection, QX, QW, QZ, and JS; writing—original draft preparation, QX; writing—review and editing, QZ, JY, MD, and JAL-E. All authors contributed to manuscript revision and approved the submitted version.

Corresponding authors

Correspondence to Jose A Lopez-Escamez, Jun Yang or Qing Zhang.

Ethics declarations

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Research involving human participants and/or animals

The report was approved by Ethics Committee of Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine (No. XHEC-D-2023-050) and complied with the ethical standards. No animals were involved.

Informed consent

Written informed consent was obtained.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xiao, Q., Wu, Q., Zhang, Q. et al. Treatment of Meniere’s disease with simultaneous triple semicircular canal occlusion and cochlear implantation. Eur Arch Otorhinolaryngol 281, 1603–1608 (2024). https://doi.org/10.1007/s00405-023-08387-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-023-08387-x

Keywords

Search

Navigation