Implante coclear en enfermedad de Ménière bilateral. Descripción de un caso
Resumen Introducción: La enfermedad de Ménière se caracteriza por síntomas cocleares y vestibulares. Puede ser unilateral o bilateral. Cuando la pérdida de audición asociada es severa-profunda de forma bilateral o unilateral pero con problemas de audición en el otro oído, dicha audición puede beneficiarse de un implante coclear. Si además, presenta crisis de vértigo y Tumarkin refractarias al tratamiento médico, se puede plantear la realización simultánea de una laberintectomía quirúrgica y colocación de un implante coclear. Descripción: Se describe el caso de un paciente con enfermedad de Ménière bilateral con hipoacusia neurosensorial profunda de oído derecho con fluctuaciones auditivas izquierdas que asocia crisis vertiginosas y de Tumarkin sin respuesta a corticoides orales e intratimpánicos ni a gentamicina intratimpánica. Se le realizó una laberintectomía quirúrgica con implante coclear en el mismo acto quirúrgico anticipándonos al probable deterioro auditivo contralateral. Posteriormente presenta buen rendimiento del implante y desaparición de las crisis del oído intervenido. Discusión: El objetivo del tratamiento es controlar las crisis preservando la función, pero en pacientes en los que las medidas conservadoras fallan, se han de considerar otras más destructivas como es la laberintectomía química, que consigue altas tasas de control de las crisis, y el implante coclear, indicado para restaurar la audición en el oído afectado por enfermedad de Ménière. Si ambas se realizan en un mismo tiempo quirúrgico, se consigue reducir riesgos asociados con otros procedimientos quirúrgicos y anestésicos y evitar las modificaciones histológicas tras una laberintectomía química que dificultarían la posterior colocación del implante colear.
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Amoodi HA, Mick PT, Shipp DB, et al. The effects of unilateral cochlear implantation on the tinnitus handicap inventory and the influence on quality of life. Laryngocope. 2011;121:1536-40. https://doi.org/10.1002/lary.21851
Anderson JP, Harris JP. Impact of Ménière`s disease on quality of life. Otol Neurotol. 2001;22:888-94. https://doi.org/10.1097/00129492-200111000-00030
Arndt S, Aschendorff A, Laszig R, et al. Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol. 2011;32:39-47. https://doi.org/10.1097/MAO.0b013e3181fcf271
Batuecas-Caletrío A, Klumpp M, Santa Cruz-Ruiz S, Benito-González F, González-Sánchez E, Arriaga M. Vestibular function in cochlear implantation: Correlating objectiveness and subjectiveness. Laryngoscope 2015;125:2371-5. https://doi.org/10.1002/lary.25299
Belinchon A, Peres-GarriguesH,Tenias JM. Evolution of symptoms in Ménière´s disease. Audiol Neurotol. 2012;17:126-32. https://doi.org/10.1159/000331945
Clemmens C, Ruckenstein M. Characteristics of patientswith unilateral and bilateral Ménière´s disease. Otol Neurotol. 2012; 33:1266-9. https://doi.org/10.1097/MAO.0b013e31826426b9
Committee on Hearing and Equilibrium. Committee on hearing and equilibrium guidelines for the diagnosis and evaluation of therapy in Ménière's disease. Otolaryngol Head Neck Surg. 1995;113:181-5. https://doi.org/10.1016/S0194-5998(95)70102-8
Douglas A Chen, Fred H. Linthicum JR, Frankin M Ritzer. Cochlear histopathology in the labyrinthectomized ear: implications for cochlear implantation. Laryngoscope. 1988;98:1170-2. https://doi.org/10.1288/00005537-198811000-00004
Eddington DK, Dobelle WG, Brackmann DE, Mladejovsky MG, Parkin JL. Auditory prostheses research with multiple cannel intracochlear stimulation in man. Ann Otol Rhinol Laryngol [Suppl]. 1978;53:1-39.
Fukuoka H, Tsukada K, Miyagawa M, et al. Semi- quantitative evaluation of endolymphatic hydrops by bilateral intratympanic gadolinium-based contrast agent administration with MRI for Ménière´s disease. Acta Otolaryngol. 2009;10:1-7. https://doi.org/10.1080/00016480902858881
Green JD, Blum DJ, Harner SG. Longitudinal followup of patients with Ménière´s disease. Otolaryngol Head Neck Surg 1991;104:783-8. https://doi.org/10.1177/019459989110400603
Hallpike CS, Cairns H. Observations on the pathology of Ménière's syndrome: (Section of Otology). Proc R Soc Med. 1938;31:1317-36. https://doi.org/10.1017/s0022215100003947
Iseli C, Gibson W. A comparison of three methods of using transtympanic electrocochleography for diagnosis of Ménière´s disease. Acta Otolaryngol. 2009;26:1-8. https://doi.org/10.1080/00016480902858899
Kentala E, Havia M, Pykko I, Short-lasting drop attacks in Ménière's disease. Otolaryngol Head Neck Surg. 2001;124:526-30. https://doi.org/10.1067/mhn.2001.115169
Kotimaki J, Sorri M, Aantaa E, Nuutinen J. Prevalence of Meniére's disease in Finland. Laryngoscope. 1999;109:748-53. https://doi.org/10.1097/00005537-199905000-00013
Kveton JF, Abbott C, April M, Drumheller G, Cohen N, Poe DS. Cochlear implantation after transmastoid labyrinthectomy. Laryngoscope. 1989;99:610-613. https://doi.org/10.1288/00005537-198906000-00008
Lin MY, Timmer FC, Oriel BS et al. Vestibular evoked myogenic potencials (VEMP) can detect asymptomtic saccular hydrops. Laryngoscope. 2006;116:987-92. https://doi.org/10.1097/01.mlg.0000216815.75512.03
Lustig LR, Yeagle J, Niparko JK, Minor LB. Cochlear implantation in patients with bilateral Ménière's syndrome. Otol Neurotol. 2003;24:397-403. https://doi.org/10.1097/00129492-200305000-00009
Mancini F, Catalani M, Carru M, Monti B. History of Ménière's disease and its clinical presentation. Otolaryngol Clin North Am. 2002;35:565-80. https://doi.org/10.1016/S0030-6665(02)00017-8
Marlan R, Hansen, Bruce J. Gantz and Camille Dunn. Outcomes following cochlear implantation for patients with single-sided deafness, including those with recalcitrant Ménière's disease. Otol Neurotol. 2013;34:1681-7. https://doi.org/10.1097/MAO.0000000000000102
McRackan T.R, Gifford R.N, Kahue C.H, Dwyer R, Labadie R.F, Wanna G.B, Haynes D.S, Bennett M.L. Cochlear Implantation in Ménière's Disease Patients. Otol Neurotol. 2014;35:421-5. https://doi.org/10.1097/MAO.0000000000000247
Mick P, Amoodi H, Arnoldner C. Cochlear implantation in patients with advanced Ménière’s disease. Otol Neurotol. 2014;35:1172-8.
Nadol J. Histologic considerations in implant patients. Arch Otolayngol Head Neck Surg. 1984;1:60-3.
Nakee K, Komatuzaki K. Epidemiological study of Ménière's disease. Pract Otol (Kyoto). 1984;69:1783-8. https://doi.org/10.5631/jibirin.69.11special_1783
Nguyen KD, Minor LB, Delia Santina CC et al. Vestibular function and vertigo control after intratympanic gentamicin for Ménière's disease. Audiol Neurotol. 2009:14:361-72. https://doi.org/10.1159/000241893
Osborn HA. Yeung R, Lin VY. Delayed cochlear implantation after surgical labyrinthectomy. J Laryngol Otol. 2012;126:63-5. https://doi.org/10.1017/S0022215111002374
Paparella MM, Griebie MS. Bilaterality of Ménière's disease. Acta Otolaryngol (Stockh). 1984;97:233-7. https://doi.org/10.3109/00016488409130984
Pérez Fernández N, Montes Jovellar L, Cervera Paz J et al. Auditory and vestibular assessment of patients with Meniere's disease who suffer Tumarkin attacks. Audiol Neurotol. 2010;15:399-406. https://doi.org/10.1159/000310899
Ravi N. Samy, Lisa Houston, Michael Scott, Daniel I. Cochlear implantation in patients with Ménière's Disease. Cochlear Implants Int. 2015;16:208-12. https://doi.org/10.1179/1754762814Y.0000000104
Rubinstein JT, Parkinson WS, Tyler RS, et al. Residual speech recognition and cochlear implant performance: effects of implantation criteria. Am J Otol. 1999;20: 445-52.
Samuel A. C. MacKeith, MBChB, FRCS, Ian D. Bottrill, MBBS, FRCS, James D. Ramsden, FRCS. Simultaneous Labyrinthectomy With Cochlear Implantation in Patients With Bilateral Ménière's Disease. Ann Otol Rhinol Laryngol. 2014;123:485–9. https://doi.org/10.1177/0003489414527226
Shojaku H, Watanabe Y, Mizukoshi K, et al. Epidemiological study of severe cases of Ménière's disease in Japan. Acta Otolaryngol Suppl. 1995;520:415-8. https://doi.org/10.3109/00016489509125286
Stahle J, Stahle C, Anerberg IK. Incidence of Ménière's disease. Arch Otolaryngol. 1978;104:99-102. https://doi.org/10.1001/archotol.1978.00790020041009
Stahle J. Advanced Ménière's disease.A study of 356 severely disabled patients. Acta Otolaryngol. 1976;31:113-9. https://doi.org/10.3109/00016487609107484
Teufert KB, Doherty J. Endolymphatic sac shunt, labyrinthectomy and vestibular nerve section in Ménière's disease. Otolaryngol Clin North Am. 2010;43:1091-111. https://doi.org/10.1016/j.otc.2010.05.014
Tien HC, Linthicum FH. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg. 2002;127:260-4. https://doi.org/10.1067/mhn.2002.128555
Tokumaau K, Tashiro N, Goto K, et al. Incidence and prevalence of Ménière's disease in Aagamihara City, Kanagawaken. Pract Otol (Kyoto). 1983;1:1165-75.
Waltzman SB, Cosetti MK. Outcomes in cochlear implantation: variables affecting performance in adults and children. Otolaryngol Clin North Am. 2012;45:155-71. https://doi.org/10.1016/j.otc.2011.08.023
Zwolan T.A, Sheoard N.T and Niparko J.K. Labyrinthectomy with cochlear implantation. Am J Otol. 1993;14:220-3.
Anderson JP, Harris JP. Impact of Ménière`s disease on quality of life. Otol Neurotol. 2001;22:888-94. https://doi.org/10.1097/00129492-200111000-00030
Arndt S, Aschendorff A, Laszig R, et al. Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol. 2011;32:39-47. https://doi.org/10.1097/MAO.0b013e3181fcf271
Batuecas-Caletrío A, Klumpp M, Santa Cruz-Ruiz S, Benito-González F, González-Sánchez E, Arriaga M. Vestibular function in cochlear implantation: Correlating objectiveness and subjectiveness. Laryngoscope 2015;125:2371-5. https://doi.org/10.1002/lary.25299
Belinchon A, Peres-GarriguesH,Tenias JM. Evolution of symptoms in Ménière´s disease. Audiol Neurotol. 2012;17:126-32. https://doi.org/10.1159/000331945
Clemmens C, Ruckenstein M. Characteristics of patientswith unilateral and bilateral Ménière´s disease. Otol Neurotol. 2012; 33:1266-9. https://doi.org/10.1097/MAO.0b013e31826426b9
Committee on Hearing and Equilibrium. Committee on hearing and equilibrium guidelines for the diagnosis and evaluation of therapy in Ménière's disease. Otolaryngol Head Neck Surg. 1995;113:181-5. https://doi.org/10.1016/S0194-5998(95)70102-8
Douglas A Chen, Fred H. Linthicum JR, Frankin M Ritzer. Cochlear histopathology in the labyrinthectomized ear: implications for cochlear implantation. Laryngoscope. 1988;98:1170-2. https://doi.org/10.1288/00005537-198811000-00004
Eddington DK, Dobelle WG, Brackmann DE, Mladejovsky MG, Parkin JL. Auditory prostheses research with multiple cannel intracochlear stimulation in man. Ann Otol Rhinol Laryngol [Suppl]. 1978;53:1-39.
Fukuoka H, Tsukada K, Miyagawa M, et al. Semi- quantitative evaluation of endolymphatic hydrops by bilateral intratympanic gadolinium-based contrast agent administration with MRI for Ménière´s disease. Acta Otolaryngol. 2009;10:1-7. https://doi.org/10.1080/00016480902858881
Green JD, Blum DJ, Harner SG. Longitudinal followup of patients with Ménière´s disease. Otolaryngol Head Neck Surg 1991;104:783-8. https://doi.org/10.1177/019459989110400603
Hallpike CS, Cairns H. Observations on the pathology of Ménière's syndrome: (Section of Otology). Proc R Soc Med. 1938;31:1317-36. https://doi.org/10.1017/s0022215100003947
Iseli C, Gibson W. A comparison of three methods of using transtympanic electrocochleography for diagnosis of Ménière´s disease. Acta Otolaryngol. 2009;26:1-8. https://doi.org/10.1080/00016480902858899
Kentala E, Havia M, Pykko I, Short-lasting drop attacks in Ménière's disease. Otolaryngol Head Neck Surg. 2001;124:526-30. https://doi.org/10.1067/mhn.2001.115169
Kotimaki J, Sorri M, Aantaa E, Nuutinen J. Prevalence of Meniére's disease in Finland. Laryngoscope. 1999;109:748-53. https://doi.org/10.1097/00005537-199905000-00013
Kveton JF, Abbott C, April M, Drumheller G, Cohen N, Poe DS. Cochlear implantation after transmastoid labyrinthectomy. Laryngoscope. 1989;99:610-613. https://doi.org/10.1288/00005537-198906000-00008
Lin MY, Timmer FC, Oriel BS et al. Vestibular evoked myogenic potencials (VEMP) can detect asymptomtic saccular hydrops. Laryngoscope. 2006;116:987-92. https://doi.org/10.1097/01.mlg.0000216815.75512.03
Lustig LR, Yeagle J, Niparko JK, Minor LB. Cochlear implantation in patients with bilateral Ménière's syndrome. Otol Neurotol. 2003;24:397-403. https://doi.org/10.1097/00129492-200305000-00009
Mancini F, Catalani M, Carru M, Monti B. History of Ménière's disease and its clinical presentation. Otolaryngol Clin North Am. 2002;35:565-80. https://doi.org/10.1016/S0030-6665(02)00017-8
Marlan R, Hansen, Bruce J. Gantz and Camille Dunn. Outcomes following cochlear implantation for patients with single-sided deafness, including those with recalcitrant Ménière's disease. Otol Neurotol. 2013;34:1681-7. https://doi.org/10.1097/MAO.0000000000000102
McRackan T.R, Gifford R.N, Kahue C.H, Dwyer R, Labadie R.F, Wanna G.B, Haynes D.S, Bennett M.L. Cochlear Implantation in Ménière's Disease Patients. Otol Neurotol. 2014;35:421-5. https://doi.org/10.1097/MAO.0000000000000247
Mick P, Amoodi H, Arnoldner C. Cochlear implantation in patients with advanced Ménière’s disease. Otol Neurotol. 2014;35:1172-8.
Nadol J. Histologic considerations in implant patients. Arch Otolayngol Head Neck Surg. 1984;1:60-3.
Nakee K, Komatuzaki K. Epidemiological study of Ménière's disease. Pract Otol (Kyoto). 1984;69:1783-8. https://doi.org/10.5631/jibirin.69.11special_1783
Nguyen KD, Minor LB, Delia Santina CC et al. Vestibular function and vertigo control after intratympanic gentamicin for Ménière's disease. Audiol Neurotol. 2009:14:361-72. https://doi.org/10.1159/000241893
Osborn HA. Yeung R, Lin VY. Delayed cochlear implantation after surgical labyrinthectomy. J Laryngol Otol. 2012;126:63-5. https://doi.org/10.1017/S0022215111002374
Paparella MM, Griebie MS. Bilaterality of Ménière's disease. Acta Otolaryngol (Stockh). 1984;97:233-7. https://doi.org/10.3109/00016488409130984
Pérez Fernández N, Montes Jovellar L, Cervera Paz J et al. Auditory and vestibular assessment of patients with Meniere's disease who suffer Tumarkin attacks. Audiol Neurotol. 2010;15:399-406. https://doi.org/10.1159/000310899
Ravi N. Samy, Lisa Houston, Michael Scott, Daniel I. Cochlear implantation in patients with Ménière's Disease. Cochlear Implants Int. 2015;16:208-12. https://doi.org/10.1179/1754762814Y.0000000104
Rubinstein JT, Parkinson WS, Tyler RS, et al. Residual speech recognition and cochlear implant performance: effects of implantation criteria. Am J Otol. 1999;20: 445-52.
Samuel A. C. MacKeith, MBChB, FRCS, Ian D. Bottrill, MBBS, FRCS, James D. Ramsden, FRCS. Simultaneous Labyrinthectomy With Cochlear Implantation in Patients With Bilateral Ménière's Disease. Ann Otol Rhinol Laryngol. 2014;123:485–9. https://doi.org/10.1177/0003489414527226
Shojaku H, Watanabe Y, Mizukoshi K, et al. Epidemiological study of severe cases of Ménière's disease in Japan. Acta Otolaryngol Suppl. 1995;520:415-8. https://doi.org/10.3109/00016489509125286
Stahle J, Stahle C, Anerberg IK. Incidence of Ménière's disease. Arch Otolaryngol. 1978;104:99-102. https://doi.org/10.1001/archotol.1978.00790020041009
Stahle J. Advanced Ménière's disease.A study of 356 severely disabled patients. Acta Otolaryngol. 1976;31:113-9. https://doi.org/10.3109/00016487609107484
Teufert KB, Doherty J. Endolymphatic sac shunt, labyrinthectomy and vestibular nerve section in Ménière's disease. Otolaryngol Clin North Am. 2010;43:1091-111. https://doi.org/10.1016/j.otc.2010.05.014
Tien HC, Linthicum FH. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg. 2002;127:260-4. https://doi.org/10.1067/mhn.2002.128555
Tokumaau K, Tashiro N, Goto K, et al. Incidence and prevalence of Ménière's disease in Aagamihara City, Kanagawaken. Pract Otol (Kyoto). 1983;1:1165-75.
Waltzman SB, Cosetti MK. Outcomes in cochlear implantation: variables affecting performance in adults and children. Otolaryngol Clin North Am. 2012;45:155-71. https://doi.org/10.1016/j.otc.2011.08.023
Zwolan T.A, Sheoard N.T and Niparko J.K. Labyrinthectomy with cochlear implantation. Am J Otol. 1993;14:220-3.
Moreno-Bravo, A., Sánchez-Gómez, H., Aguilera-Aguilera, G. A., González-Sánchez, M., Santa Cruz-ruiz, S., & Batuecas-Caletrío, Ángel. (2017). Implante coclear en enfermedad de Ménière bilateral. Descripción de un caso. Revista ORL, 8(1), 53–60. https://doi.org/10.14201/orl.14699
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