Lateral Semicircular Canal Plugging in Severe Ménière's Disease

Charpiot, Anne; Rohmer, Damien; Gentine, A.

doi:10.1097/mao.0b013e3181ca85a2

Cited by 42 publications

(38 citation statements)

References 13 publications

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“…An intralabyrinthine approach was used and postoperative hearing (reported only for 1 out of the 4 implanted patients) was almost totally lost [45,47]. Nevertheless, there are reports showing that hearing is preserved after plugging of a dehiscent superior semicircular canal, plugging of the posterior superior semicircular canal for intractable benign paroxysmal positional vertigo [64,65], and plugging of the lateral superior semicircular canal in patients with severe Menière's disease [66]. Since most patients suffering from a BVL have normal or near-normal hearing, it is crucial that the incidence of hearing loss upon vestibular implant surgery is thoroughly investigated and reported in the near future.…”

Section: Discussionmentioning

confidence: 99%

Vestibular Implants: 8 Years of Experience with Electrical Stimulation of the Vestibular Nerve in 11 Patients with Bilateral Vestibular Loss

Guinand¹,

Berg²,

Cavuscens³

et al. 2015

ORL

118

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Background: The concept of the vestibular implant is primarily to artificially restore the vestibular function in patients with a bilateral vestibular loss (BVL) by providing the central nervous system with motion information using electrical stimulation of the vestibular nerve. Our group initiated human trials about 10 years ago. Methods: Between 2007 and 2013, 11 patients with a BVL received a vestibular implant prototype providing electrodes to stimulate the ampullary branches of the vestibular nerve. Eye movements were recorded and analyzed to assess the effects of the electrical stimulation. Perception induced by electrical stimulation was documented. Results: Smooth, controlled eye movements were obtained in all patients showing that electrical stimulation successfully activated the vestibulo-ocular pathway. However, both the electrical dynamic range and the amplitude of the eye movements were variable from patient to patient. The axis of the response was consistent with the stimulated nerve branch in 17 out of the 24 tested electrodes. Furthermore, in at least 1 case, the elicited eye movements showed characteristics similar to those of compensatory eye movements observed during natural activities such as walking. Finally, diverse percepts were reported upon electrical stimulation (i.e., rotatory sensations, sound, tickling or pressure) with intensity increasing as the stimulation current increased. Conclusions: These results demonstrate that electrical stimulation is a safe and effective means to activate the vestibular system, even in a heterogeneous patient population with very different etiologies and disease durations. Successful tuning of this information could turn this vestibular implant prototype into a successful artificial balance organ.

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Section: Discussionmentioning

confidence: 99%

Vestibular Implants: 8 Years of Experience with Electrical Stimulation of the Vestibular Nerve in 11 Patients with Bilateral Vestibular Loss

Guinand¹,

Berg²,

Cavuscens³

et al. 2015

ORL

118

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show abstract

“…Surgical methods include endolymphatic sac surgery (EDS), EDS with steroid [2], vestibular neurectomy, and total canal occlusion [3]. Lateral semicircular canal plugging in severe Meniere's disease was recently reported as a new therapy by Charpiot et al [4]. The data for canal plugging to treat benign paroxysmal positional vertigo (BPPV) indicated a risk of endolymphatic hydrops [5].…”

Section: Introductionmentioning

confidence: 99%

Lateral semicircular canal plugging with endolymphatic sac decompression as new surgical treatment for intractable Meniere's disease

2012

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“…A recently published paper suggests the occlusion of the lateral SCC for Meniere’s disease and reports good hearing preservation with relief of vertiginous spells [65]. …”

Section: Recent Trends In the Therapy Of Vestibular Disordersmentioning

confidence: 99%

Perspectives in vestibular diagnostics and therapy

Ernst

2011

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 10:Doc05; ISSN 1865-1011

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Lateral Semicircular Canal Plugging in Severe Ménière's Disease

Abstract: Lateral canal plugging is a safe procedure that induces a canal paresis and allows a good control of vertigo. In view of these results, the lateral canal plugging should be a therapeutic option for controlling rotatory vertigo in severe MD.

Cited by 42 publications

References 13 publications

Vestibular Implants: 8 Years of Experience with Electrical Stimulation of the Vestibular Nerve in 11 Patients with Bilateral Vestibular Loss

Vestibular Implants: 8 Years of Experience with Electrical Stimulation of the Vestibular Nerve in 11 Patients with Bilateral Vestibular Loss

Lateral semicircular canal plugging with endolymphatic sac decompression as new surgical treatment for intractable Meniere's disease

Perspectives in vestibular diagnostics and therapy

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