Long-term outcome of patients with Ménière's disease following cochlear implantation: a comprehensive outcome study with validated assessment tools.
Cochlear implantation
Hearing outcomes
Ménière’s disease
Quality of life
Tinnitus
Vertigo
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
20 May 2024
20 May 2024
Historique:
received:
31
01
2024
accepted:
15
04
2024
medline:
20
5
2024
pubmed:
20
5
2024
entrez:
20
5
2024
Statut:
aheadofprint
Résumé
Patients suffering from Ménière's disease (MD) experience vertigo, and impairments in hearing and quality of life (QoL). This study aims to investigate the impact of cochlear implantation (CI) on various aspects affecting patients with MD. A single tertiary centre's CI database for CI recipients with MD between 2014 and 2022 was screened retrospectively. Hearing, vertigo, tinnitus symptoms, and hearing-related QoL were assessed. Pre- and postoperative hearing tests in conjunction with subjective outcome measures by visual analogue scale (VAS) and validated tools such as the Dizziness Handicap Inventory (DHI), Tinnitus Handicap Inventory (THI) and Nijmegen Cochlear Implant Questionnaire (NCIQ), as well as the assessment of the pre- and postoperative Functional Level Scale (FLS) were examined. Eleven ears were included (median age: 59 years at implantation). Following implantation, there was a significant enhancement in Word Recognition Scores at sound levels of 65 dB and 80 dB compared to before treatment (preop vs. 12 months postop: p = 0.012). However, no significant enhancement was observed for 50 dB. MD-related impairments improved significantly postoperatively, as measured by the VAS (vertigo: p = 0.017; tinnitus: p = 0.042), DHI (p = 0.043), THI (p = 0.043) and NCIQ (p < 0.001). The FLS improved significantly (p = 0.020). CI has positive effects on all areas examined in our cohort. However, discrimination of speech at low sound pressure levels remained problematic postoperatively. In patients suffering from MD, the prioritized treatment goals include not only improved hearing but also the rehabilitation of vertigo and tinnitus, as well as the enhancement of QoL. Validated instruments are useful screening tools.
Identifiants
pubmed: 38767697
doi: 10.1007/s00405-024-08690-1
pii: 10.1007/s00405-024-08690-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Basura GJ et al (2020) Clinical Practice Guideline: Ménière’s Disease. Otolaryngol Head Neck Surg 162(2_suppl):S1-s55
pubmed: 32267799
Oberman BS et al (2017) The aetiopathologies of Meniere’s disease: a contemporary review. Acta Otorhinolaryngol Ital 37(4):250–263
pubmed: 28244505
pmcid: 5584095
doi: 10.14639/0392-100X-793
Schuknecht HF, Gulya AJ (1983) Endolymphatic hydrops: an overview and classification. Ann Otol Rhinol Laryngol 92(5_suppl):1–20
doi: 10.1177/00034894830920S501
Reiß M (2021) Facharztwissen HNO-Heilkunde : Differenzierte Diagnostik und Therapie. 2. Auflage 2021 ed. Springer eBook Collection. 2021, Berlin, Heidelberg: Springer Berlin Heidelberg. XLVIII, 1366 S. 95 Abb., 55 Abb. in Farbe.
AAO-HNS Equilibrium Committee (1995) Committee on hearing and equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. Otolaryngol-Head Neck Surg 113(3):181–185
doi: 10.1016/S0194-5998(95)70102-8
Lustig LR et al (2003) Cochlear implantation in patients with bilateral Ménière’s syndrome. Otol Neurotol 24(3):397–403
pubmed: 12806291
doi: 10.1097/00129492-200305000-00009
Lopez-Escamez JA et al (2015) Diagnostic criteria for Menière’s disease. J Vestib Res 25:1–7
pubmed: 25882471
doi: 10.3233/VES-150549
Harris JP, Alexander TH (2010) Current-day prevalence of Ménière’s syndrome. Audiol Neurootol 15(5):318–322
pubmed: 20173319
doi: 10.1159/000286213
Tyrrell JS et al (2014) Prevalence, associated factors, and comorbid conditions for Ménière’s disease. Ear Hear 35(4):e162–e169
pubmed: 24732693
doi: 10.1097/AUD.0000000000000041
House JW et al (2006) Meniere’s disease: prevalence of contralateral ear involvement. Otol Neurotol 27(3):355–361
pubmed: 16639274
doi: 10.1097/00129492-200604000-00011
Schaaf H (2010) Der Morbus-Menière-Erkrankte. HNO kompakt 18. Jahrgang (4. Heft), pp 219–232
Hirschfelder A, Gräbel S, Olze H (2008) The impact of cochlear implantation on quality of life: the role of audiologic performance and variables. Otolaryngol-Head Neck Surg 138(3):357–362
pubmed: 18312885
doi: 10.1016/j.otohns.2007.10.019
McRackan TR et al (2018) Meta-analysis of quality-of-life improvement after cochlear implantation and associations with speech recognition abilities. Laryngoscope 128(4):982–990
pubmed: 28731538
doi: 10.1002/lary.26738
McRackan TR et al (2014) Cochlear implantation in Meniere’s disease patients. Otol Neurotol 35(3):421–425
pubmed: 24492131
doi: 10.1097/MAO.0000000000000247
Kurz A, Auinger A, Arnoldner C (2020) Long-term vertigo control after cochlear implantation in patients with end-stage Menière’s disease. Wien Klin Wochenschr 132(17):521–525
pubmed: 31997063
pmcid: 7518986
doi: 10.1007/s00508-019-01605-9
Desiato VM et al (2020) Cochlear implantation in patients with Meniere’s disease: a systematic review. World J Otorhinolaryngol Head Neck Surg 7(4):303–311
pubmed: 34632344
pmcid: 8486698
doi: 10.1016/j.wjorl.2020.03.004
Mick P et al (2014) Cochlear implantation in patients with advanced Ménière’s disease. Otol Neurotol 35(7):1172–1178
pubmed: 24366468
doi: 10.1097/MAO.0000000000000202
Mukherjee P et al (2017) Cochlear implantation in Ménière’s disease with and without labyrinthectomy. Otol Neurotol 38(2):192–198
pubmed: 27861194
doi: 10.1097/MAO.0000000000001278
Natarajan K et al (2018) Cochlear implantation in Meniere’s disease: surgery and outcomes. Int J Otorhinolaryngol Head Neck Surg 4:1458
doi: 10.18203/issn.2454-5929.ijohns20184359
Samy RN et al (2015) Cochlear implantation in patients with Meniere’s disease. Cochlear Implants Int 16(4):208–212
pubmed: 25490724
doi: 10.1179/1754762814Y.0000000104
Fife TA et al (2014) Cochlear Implantation in Meniere’s disease. JAMA Otolaryngol Head Neck Surg 140(6):535–539
pubmed: 24789018
doi: 10.1001/jamaoto.2014.550
Hansen MR, Gantz BJ, Dunn C (2013) Outcomes after cochlear implantation for patients with single-sided deafness, including those with recalcitrant Ménière’s disease. Otol Neurotol 34(9):1681–1687
pubmed: 24232066
doi: 10.1097/MAO.0000000000000102
Villavisanis DF et al (2021) Cochlear implantation in Meniere’s disease: a systematic review and meta-analysis. Laryngoscope 2021(00):1–10
Blasco MA, Redleaf MI (2014) Cochlear implantation in unilateral sudden deafness improves tinnitus and speech comprehension: meta-analysis and systematic review. Otol Neurotol 35(8):1426–1432
pubmed: 24786540
doi: 10.1097/MAO.0000000000000431
Kwok B et al (2023) Post cochlear implantation vertigo: ictal nystagmus and audiovestibular test characteristics. Otol Neurotol 45:65–74
pubmed: 37853785
doi: 10.1097/MAO.0000000000004037
Canzi P et al (2017) Translabyrinthine vestibular neurectomy and simultaneous cochlear implant for Ménière’s disease. Acta Neurochir (Wien) 159(1):123–130
pubmed: 27812817
doi: 10.1007/s00701-016-2996-9
Mateijsen DJ et al (2001) Pure-tone and speech audiometry in patients with Meniere’s disease. Clin Otolaryngol Allied Sci 26(5):379–387
pubmed: 11678945
doi: 10.1046/j.1365-2273.2001.00488.x
Doobe G et al (2015) Simultaneous labyrinthectomy and cochlear implantation for patients with single-sided Ménière’s disease and profound sensorineural hearing loss. Biomed Res Int 2015:457318
pubmed: 26380275
pmcid: 4561297
doi: 10.1155/2015/457318
Kurre A et al (2010) Exploratory factor analysis of the Dizziness Handicap Inventory (German version). BMC Ear Nose Throat Disord 10:3–3
pubmed: 20230621
pmcid: 2850321
doi: 10.1186/1472-6815-10-3
Kurre A et al (2009) Translation, cross-cultural adaptation and reliability of the German version of the dizziness handicap inventory. Otol Neurotol 30(3):359–367
pubmed: 19225437
doi: 10.1097/MAO.0b013e3181977e09
Jacobson GP, Newman CW (1990) The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 116(4):424–427
pubmed: 2317323
doi: 10.1001/archotol.1990.01870040046011
Duong Dinh TA, Wittenborn J, Westhofen M (2022) The Dizziness Handicap Inventory for quality control in the treatment of vestibular dysfunction. HNO 70(1):19–23
pubmed: 33733711
doi: 10.1007/s00106-021-01017-0
Volz-Sidiropoulou E et al (2010) The dizziness handicap inventory: initial psychometric evaluation of the German version. Laryngorhinootologie 89:418–423
pubmed: 20440669
doi: 10.1055/s-0030-1253371
McCombe A et al (2001) Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999. Clin Otolaryngol Allied Sci 26(5):388–393
pubmed: 11678946
doi: 10.1046/j.1365-2273.2001.00490.x
Kleinjung T et al (2007) Validierung einer deutschsprachigen Version des „Tinnitus Handicap Inventory”. Psychiatrische Praxis PSYCHIAT PRAX 34:140–142
doi: 10.1055/s-2006-940218
Hinderink JB, van den Broek KPP (2017) Corrigendum. Otolaryngol Head Neck Surg 156(2):391
doi: 10.1177/0194599816679126
Hinderink JB, Krabbe PFM, van den Broek P (2000) Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen Cochlear Implant Questionnaire. Otolaryngol Head Neck Surg 123(6):756–765
pubmed: 11112975
doi: 10.1067/mhn.2000.108203
Plath M et al (2022) Validierung und Reliabilitätsprüfung des Nijmegen Cochlear Implant Questionnaire in deutscher Sprache. HNO
doi: 10.1007/s00106-021-01114-0
Plath M et al (2022) Prospective study on health-related quality of life in patients before and after cochlear implantation. Eur Arch Oto-Rhino-Laryngol 279:115–125
doi: 10.1007/s00405-021-06631-w
Brill IT et al (2023) Response shift in hearing related quality of life after cochlear implantation—effect size and clinical significance: a then-test study. Health Qual Life Outcomes 21(1):37
pubmed: 37098588
pmcid: 10129310
doi: 10.1186/s12955-023-02118-w
Tyrrell J, Whinney DJ, Taylor T (2016) The cost of Ménière’s disease: a novel multisource approach. Ear Hear 37(3):e202–e209
pubmed: 26760200
doi: 10.1097/AUD.0000000000000264
Baguley D, Norman M (2001) Tinnitus handicap inventory. J Am Acad Audiol 12(7):379–380
pubmed: 11500012
doi: 10.1055/s-0042-1745622
Baguley DM, Andersson G (2003) Factor analysis of the Tinnitus Handicap Inventory. Am J Audiol 12(1):31–34
pubmed: 12894865
doi: 10.1044/1059-0889(2003/007)
Newman CW, Jacobson GP, Spitzer J (1996) Development of the Tinnitus Handicap Index. Arch Otolaryngo-Head Neck Surg 122:143–148
doi: 10.1001/archotol.1996.01890140029007
Schwartz CE et al (2006) The clinical significance of adaptation to changing health: A meta-analysis of response shift. Qual Life Res 15(9):1533–1550
pubmed: 17031503
doi: 10.1007/s11136-006-0025-9
Kwok BYC et al (2022) Impact of Cochlear Implantation on Canal and Otolith Function. Otol Neurotol 43(3):304–312
pubmed: 35061639
doi: 10.1097/MAO.0000000000003459