Cochlear implantation in patients with Meniere's disease: A systematic review

Background: Meniere's disease (MD) is an idiopathic disorder of the inner ear, which manifests as cochleo-vestibular dysfunction. Hearing loss will progress to a profound levelin a subset of patients with MD, and vestibular interventions can independently cause loss of hearing. The aim of this...

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Autores principales:	Vincent M. Desiato, Jaimin J. Patel, Shaun A. Nguyen, Ted A. Meyer, Paul R. Lambert
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2021
Materias:	Cochlear implantation Meniere's disease Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d49946b1e33f41d3b87f020a97aeb39f
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spelling	oai:doaj.org-article:d49946b1e33f41d3b87f020a97aeb39f2021-12-02T18:10:03ZCochlear implantation in patients with Meniere's disease: A systematic review2095-881110.1016/j.wjorl.2020.03.004https://doaj.org/article/d49946b1e33f41d3b87f020a97aeb39f2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120300329https://doaj.org/toc/2095-8811Background: Meniere's disease (MD) is an idiopathic disorder of the inner ear, which manifests as cochleo-vestibular dysfunction. Hearing loss will progress to a profound levelin a subset of patients with MD, and vestibular interventions can independently cause loss of hearing. The aim of this study was to systematically review the published literature describing the safety and efficacy of CI in patients with MD. Materials and methods: A systematic literature review was conducted in accordance PRISMA guidelines to identify articles that assessed at least one functional outcome in patients with MD who underwent CI. Demographic information, disease history, MD symptoms, outcomes measures, and complications related to CI were extracted from included studies. Results: In total, 17 studies were included, and 182 patients with MD underwent CI. The weighted-mean age was 61.9 years (range 27–85). Study objective and methodology varied, and there was significant heterogeneity in CI outcome measures reported. In total, 179 (98.3%) of 182 patients reported objective improvements in at least one hearing metric after CI. A total of 69 patients (37.9%) reported vertigo or severe dizziness prior to CI, compared to 22 patients (15.4%) postoperatively. Two studies reported significant reductions in postoperative Tinnitus Handicap Inventory score (THI). Quality of life assessments varied between studies. Complications rates were low with only nine patients (4.9%) reporting a serious CI-related complication. Conclusions: This systematic review evaluated 17 studies describing the safety and efficacy of CI in patients with MD and encountered many challenges due to small sample sizes, and heterogeneity in study design and outcomes measured. Despite these limitations, this study of 182 patients is to the best of our knowledge the largest systematic review evaluating the safety and efficacy of CI in MD. The results of this study support the need for a standardized approach to evaluating outcomes of CI in patients with MD in future studies.Vincent M. DesiatoJaimin J. PatelShaun A. NguyenTed A. MeyerPaul R. LambertKeAi Communications Co., Ltd.articleCochlear implantationMeniere's diseaseOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 4, Pp 303-311 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cochlear implantation Meniere's disease Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Cochlear implantation Meniere's disease Otorhinolaryngology RF1-547 Surgery RD1-811 Vincent M. Desiato Jaimin J. Patel Shaun A. Nguyen Ted A. Meyer Paul R. Lambert Cochlear implantation in patients with Meniere's disease: A systematic review
description	Background: Meniere's disease (MD) is an idiopathic disorder of the inner ear, which manifests as cochleo-vestibular dysfunction. Hearing loss will progress to a profound levelin a subset of patients with MD, and vestibular interventions can independently cause loss of hearing. The aim of this study was to systematically review the published literature describing the safety and efficacy of CI in patients with MD. Materials and methods: A systematic literature review was conducted in accordance PRISMA guidelines to identify articles that assessed at least one functional outcome in patients with MD who underwent CI. Demographic information, disease history, MD symptoms, outcomes measures, and complications related to CI were extracted from included studies. Results: In total, 17 studies were included, and 182 patients with MD underwent CI. The weighted-mean age was 61.9 years (range 27–85). Study objective and methodology varied, and there was significant heterogeneity in CI outcome measures reported. In total, 179 (98.3%) of 182 patients reported objective improvements in at least one hearing metric after CI. A total of 69 patients (37.9%) reported vertigo or severe dizziness prior to CI, compared to 22 patients (15.4%) postoperatively. Two studies reported significant reductions in postoperative Tinnitus Handicap Inventory score (THI). Quality of life assessments varied between studies. Complications rates were low with only nine patients (4.9%) reporting a serious CI-related complication. Conclusions: This systematic review evaluated 17 studies describing the safety and efficacy of CI in patients with MD and encountered many challenges due to small sample sizes, and heterogeneity in study design and outcomes measured. Despite these limitations, this study of 182 patients is to the best of our knowledge the largest systematic review evaluating the safety and efficacy of CI in MD. The results of this study support the need for a standardized approach to evaluating outcomes of CI in patients with MD in future studies.
format	article
author	Vincent M. Desiato Jaimin J. Patel Shaun A. Nguyen Ted A. Meyer Paul R. Lambert
author_facet	Vincent M. Desiato Jaimin J. Patel Shaun A. Nguyen Ted A. Meyer Paul R. Lambert
author_sort	Vincent M. Desiato
title	Cochlear implantation in patients with Meniere's disease: A systematic review
title_short	Cochlear implantation in patients with Meniere's disease: A systematic review
title_full	Cochlear implantation in patients with Meniere's disease: A systematic review
title_fullStr	Cochlear implantation in patients with Meniere's disease: A systematic review
title_full_unstemmed	Cochlear implantation in patients with Meniere's disease: A systematic review
title_sort	cochlear implantation in patients with meniere's disease: a systematic review
publisher	KeAi Communications Co., Ltd.
publishDate	2021
url	https://doaj.org/article/d49946b1e33f41d3b87f020a97aeb39f
work_keys_str_mv	AT vincentmdesiato cochlearimplantationinpatientswithmenieresdiseaseasystematicreview AT jaiminjpatel cochlearimplantationinpatientswithmenieresdiseaseasystematicreview AT shaunanguyen cochlearimplantationinpatientswithmenieresdiseaseasystematicreview AT tedameyer cochlearimplantationinpatientswithmenieresdiseaseasystematicreview AT paulrlambert cochlearimplantationinpatientswithmenieresdiseaseasystematicreview
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Cochlear implantation in patients with Meniere's disease: A systematic review

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