Traumatic Neuroma: A Complication of Transcanal Labyrinthectomy

Linthicum, Fred H.; Alonso, Antonio López; Denia, Antonio

doi:10.1001/archotol.1979.00790230024005

Cited by 35 publications

(5 citation statements)

References 2 publications

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“…Controversy exists in comparing the results of translabyrinthine neurectomy with labyrinthectomy. We favor the translabyrinthine nerve section because it accomplishes complete denervation and avoids the risk of regeneration neuromas that can be associated with labyrinthectomy 16 . We do not advocate one hearing preservation procedure over another as all have demonstrated success.…”

Section: Discussionmentioning

confidence: 99%

Vestibular Nerve Section: Long‐term Follow‐up

Pappas¹

1997

The Laryngoscope

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Vestibular nerve section is considered an effective modality in the treatment of refractory and incapacitating vertigo. Typically nerve section results are described on the basis of short-term follow-up. We have reviewed 41 cases of vestibular nerve section spanning an 18-year period. Although the majority of cases involved classic Meniere's disease, delayed endolymphatic hydrops, vestibular neuritis, and Meniere's syndrome secondary to head trauma were also included. Surgical approaches included translabyrinthine (20 cases), retrolabyrinthine (14 cases), retrosigmoid (six cases), and middle fossa (one case) procedures. Postoperative follow-up time averaged 102 months, with 46% of patients followed for a minimum of 9 years. Results are reported according to standards set forth by the American Academy of Otolaryngology--Head and Neck Surgery. Vertigo was cured or markedly improved in 88% of cases (90% in patients with Meniere's disease) at 18 to 24 months postoperatively. These vertigo results were sustained at the time of latest follow-up. Functional level was also preserved over time despite the development of bilateral symptoms in several cases. The rate of bilateral disease reached 22% of cases. Although vertigo results remained stable, long-term follow-up of successful hearing preservation cases demonstrated deterioration over time. Postoperative continuation of medical treatment is urged to optimize and sustain the vestibular neurectomy result.

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Section: Discussionmentioning

confidence: 99%

Vestibular Nerve Section: Long‐term Follow‐up

Pappas¹

1997

The Laryngoscope

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“…The primary outcome measure influence of vertigo attacks on daily living as measured by MD functional level scale improved significantly after CI (before vs. after CI: 5 (4-5) vs. 3 (2-4); p = 0.027; Table 2). The secondary outcome quantity of vertigo attacks per month perioperatively decreased insignificantly after CI (before vs. after CI: 2 (1-4) vs. 1 (0-1); p = 0.058), while the quality of life as measured by the Menière's disease outcome questionnaire improved significantly after CI (before vs. after CI: 45 (34-48) vs. 27 (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35); p = 0.035; Table 2).…”

Section: Resultsmentioning

confidence: 98%

“…The combination of labyrinthectomy and CI has been recently described as a successful tool of vertigo control and restoration of hearing [10][11][12][13][14]; however, after labyrinthectomy, postoperative vertigo can occur due to inadequate surgical removal of the vestibular sense organs, neuroma formation in the vestibule, and high regenerative potential of the vestibular nerve [18,19].…”

Section: Discussionmentioning

confidence: 99%

Long-term vertigo control after cochlear implantation in patients with end-stage Menière’s disease

Kurz

Auinger

Arnoldner

2020

Wien Klin Wochenschr

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Summary Background Menière’s disease (MD) is a symptom complex which is characterized by episodes of vertigo, tinnitus and fluctuating sensorineural hearing loss, which worsens during the course of the disease. Objective Vertigo attacks (MD functional level scale) before compared to after cochlear implantation in patients with end-stage MD. Design and patients In this questionnaire-based cross-sectional study eight patients with end-stage MD, who received a cochlear implant (CI) were analyzed. Main outcome measure The effect of the CI on vertigo was measured preoperatively and postoperatively with the Menière’s disease functional level scale and the Menière’s disease outcome questionnaire. The primary outcome parameter influence of vertigo attacks on daily living was analyzed using the non-parametric Wilcoxon signed rank test before and after CI. Setting Department of otolaryngology of a medical university. Results The primary outcome measure influence of vertigo attacks on daily living as measured by the MD functional level scale improved significantly after CI. Conclusion A CI can be an adequate treatment for vertigo attacks in patients with end-stage MD; however, due to the small sample size additional (multicenter) trials are necessary to confirm the findings.

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“…Traumatic neuromas of the vestibular nerves are recognized following surgical labyrinthectomy. Hilding and House (1965), Pulec (1974), Linthicum et al (1979) and Ylikoski and Belal (1981) have all reported cases. They presumably can also occur after bacterial damage to the labyrinth.…”

Section: Discussionmentioning

confidence: 99%

Acoustic schwannoma of traumatic origin? A temporal bone study

Lesser

Pollak²

1990

J. Laryngol. Otol.

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A tumour of the singular nerve was found on examination of the temporal bones of a child who died 13 months after meningitis. The tumour consisted of a main mass with the appearance of an acoustic neuroma but close by and not connected were some nests of tumour cells inside the vestibule. This very unusual finding raises questions of the aetiology of this tumour which may have a bearing on the aetiology of other tumours of the Vlllth. nerve. IntroductionOn examination of a temporal bone from a two-year-old child with total deafness after labyrinthitis a tumour of the singular nerve was found. This was associated with a number of nests of tumour cells in the adjacent labyrinth. The case is described and the literature searched for similar cases.

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Traumatic Neuroma: A Complication of Transcanal Labyrinthectomy

Cited by 35 publications

References 2 publications

Vestibular Nerve Section: Long‐term Follow‐up

Vestibular Nerve Section: Long‐term Follow‐up

Long-term vertigo control after cochlear implantation in patients with end-stage Menière’s disease

Acoustic schwannoma of traumatic origin? A temporal bone study

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