PDF(Pubmed)
Abstract：
The surgical options for patients with single-sided Menière\'s disease and functional deafness are challenging. Our case series reports the outcomes of surgical treatments of patients with single-sided Menière\'s disease and functional deafness. These patients have undergone a one-staged occlusion of all semi-circular canals and cochlear implantation. Five patients (four female and one male; 62 ± 8.2 years with a range from 50 to 72 years) with single-sided Menière\'s disease and functional deafness were included in this study. In all cases, the patients suffered from frequent rotational vertigo episodes for many years. Other treatment options (e.g., medication) had not yet been successful. Preoperatively, the Dizziness Handicap Inventory (DHI) of all patients indicated severe emotional, physical, and functional deficits. Patients showed a functional (near-total) deafness of the affected ear in all cases. All patients were supplied with cochlear implants in combination with a triple occlusion of all semi-circular canals in a one-stage procedure. After a short period of increased dizziness following surgery and after the activation of the cochlear implant and CI rehabilitation (auditory-verbal therapy), vertigo control and an adequate audiological outcome were achieved. The DHI showed a constant decrease after surgery. The combination of a triple semi-circular canal occlusion and cochlear implantation can be an efficient treatment for patients with single-sided Menière\'s disease.
摘要：
单侧梅尼埃病和功能性耳聋患者的手术选择具有挑战性。我们的病例系列报告了单侧梅尼埃病和功能性耳聋患者的手术治疗结果。这些患者经历了所有半圆形管和耳蜗植入的一期闭塞。本研究包括患有单侧Menière病和功能性耳聋的5例患者（4例女性和1例男性；62±8.2岁，范围为50至72岁）。在所有情况下,这些患者多年来经常发生旋转性眩晕。其他治疗方案(例如，药物）尚未成功。术前,所有患者的头晕障碍量表(DHI)显示情绪严重，物理，功能缺陷。在所有情况下，患者均表现出受影响耳朵的功能性（几乎全部）耳聋。在一个阶段的过程中，所有患者都接受了人工耳蜗植入物，并结合了所有半圆形管的三重闭塞。在手术后短暂的头晕增加后，在人工耳蜗和CI康复（听觉-语言治疗）的激活后，获得了眩晕控制和足够的听力学结果。DHI在手术后显示出持续下降。对于单侧Menière病患者，三联半环形管闭塞和人工耳蜗植入的组合可以是一种有效的治疗方法。
