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Year : 2017  |  Volume : 23  |  Issue : 3  |  Page : 197-199

Simultaneous labyrinthectomy and cochlear implantation for a case of otosclerosis with intractable vertigo

1 Department of Otology, Neurotology and Implant Otology, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of ENT, Christian Medical College and Hospital, Vellore, Tamil Nadu, India

Correspondence Address:
Joyce Pascal Rozario
Mystical Rose, House Number 5-297A6, V. P. Nagar, Kunjibettu Post, Udupi - 576 102, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/indianjotol.INDIANJOTOL_84_16

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Stapedotomy, though a common surgical procedure for otosclerosis, if inadequately performed, can cause dreaded complications of vertigo and profound hearing loss. Labyrinthectomy with cochlear implantation can be considered in cases of intractable vertigo, as numerous reports have shown that the cochlea still remains responsive to electrical stimulation postlabyrinthectomy. This report presents a case of otosclerosis, with severe to profound deafness and intractable vertigo poststapedotomy surgery, which was treated with simultaneous labyrinthectomy and cochlear implantation. This patient had good control of vertigo postoperatively and the Dizziness Handicap Index score pre- and post-operative were 80 and 38, respectively, with significant improvement in speech perception.

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