The surgeon removes the entire labyrinth of the inner ear. Both vestibular nerve sectioning and labyrinthectomy have a 95-98% success rate in controlling vertigo, but the patient's hearing may be impaired
Labyrinthectomy is surgical removal of the labyrinth.
I have not had the surgery at this time. But would like to hear from someone who has had the Labyrinthectomy done and the results. What about balance after the surgery?
Labyrinthectomy results in the highest rates of control of vertigo attacks, however, it also causes complete deafness in the affected ear.
Labyrinthectomy is more successful than other surgeries in eliminating vertigo, but the patient suffers complete and permanent loss of hearing in the operated ear
Labyrinthectomy is surgical removal of the labyrinth.
Hi I am also a sufferer and I'm now waiting for an operation called " LABYRINTHECTOMY" If you log onto WWW.EARSURGERY.ORG/MENIERE this will show you a few websites, but select the one with the above address as it will explain everything to how and why you have it also how to help it and like me have a operation as i have severe Vertigo which is all linked to the fluid in the iner ear. I found it very interesting. good luck. Sue
The symptoms commonly felt by vertigo sufferers include extreme dizziness, nausea and vomiting. Vertigo can be caused by several different factors ranging from infections of the inner ear to anomalies in the brain’s balance center, and the most common type of vertigo is known as Benign Paroxysmal Positional Vertigo. There are several different techniques that have been developed to treat Benign Paroxysmal Positional Vertigo - brief periods of vertigo that take place when a person changes position - and exactly which vertigo treatment will be recommended for which patient will depend on factors like what is causing the vertigo. The different types of treatment that have been developed for this particular type of vertigo can generally be divided into the following groups: general medical treatments, surgical treatments and medication. The general medical treatments that are available for vertigo sufferers include the canalith repositioning procedures, which presuppose that the vertigo attacks are being caused by an ear infection. These procedures involve placing a mastoid bone oscillator next to the infected ear and then rotating the head while the body is in a supine position so as to cause the repositioning of the particles located in the inner ear. Further general treatments include watchful waiting, which comprises carefully monitoring the sessions of vertigo until they decrease and, finally, stop. The surgical treatments that are sometimes recommended for Benign Paroxysmal Positional Vertigo are usually only tried after the general medical vertigo treatments have proved ineffectual. All relevant surgeries involve the inner ear, and several different operations, including the posterior canal occlusion, the labyrinthectomy and the singular neurectomy are common. All of these surgical procedures are extremely invasive and can lead to complications like damaged facial nerves and full or partial hearing loss. Several types of medication are also known to reduce the effects of vertigo, and these would include the antihistamines and the anticholinergics. Antihistamines are used because they block the body’s natural histamine response and thus reduce feelings of nausea while anticholinergics work to suppress conduction along the neural pathways between the ear and the brain. Vertigo is not difficult to treat once the exact source of the condition has been identified.
DefinitionMeniere's disease is an inner ear disorder that affects balance and hearing.See also: VertigoAlternative NamesHydrops; Endolymphatic hydropsCauses, incidence, and risk factorsThe inner ear has fluid-filled tubes called semicircular canals, or labyrinths. The canals, along with a nerve in your skull, help interpret your body's position and maintain your balance.Meniere's disease occurs when a part of the canal, called the endolymphatic sac, becomes swollen. This sac helps filter and remove fluid in the semicircular canals.The exact cause of Meniere's disease is unknown. In some cases, it may be related to:Head injuryMiddle ear infectionSyphilisOther risk factors include:AllergiesAlcohol useFatigueRecent viral illnessRespiratory infectionSmokingStressUse of certain medications, including aspirinGenetics may also play a role.About 100,000 people a year develop Meniere's disease.SymptomsSymptoms include:Abnormal sensations of movement (vertigo) Gets worse with sudden movementLasts for a few minutes to several hoursMay come and goDizzinessHearing loss in one or both ears Low frequency noises lost firstExtent of hearing loss may changeNoises or ringing in the ear (tinnitus)Sudden episodes of complete disorientation that causes the person to fall downSweating (may be heavy)Uncontrollable eye movementsVomiting and nauseaThe feeling of dizziness and being off balance generally come in attacks that last from minutes to hours. Other symptoms can last for longer.Signs and testsA neurological examination may show problems with hearing, balance, or eye movement.A procedure called caloric stimulation tests eye reflexes by warming and cooling the inner ear with water. Abnormal results on this test can be a sign of Meniere's disease.Additional tests done to distinguish Meniere's disease from other causes of vertigo may include:Evoked potential studiesElectronystagmographyHead CT scan or head MRI scanHearing tests (audiology/audiometry)TreatmentThere is no known cure for Meniere's disease. The goal of treatment is to reduce pressure in the inner ear and relieve symptoms.Medications, such as antihistamines and anticholinergics, are used but are rarely effective.Water pills (diuretics) may help relieve fluid pressure in the inner ear. A low-salt diet to reduce fluid retention may also help (See: Sodium in diet)Medicines called antiemetics may be prescribed for nausea and vomiting. Symptoms such as dizziness and vertigo may respond to sedative/hypnotics and benzodiazepines such as diazepam.Ear surgery may be required if symptoms are severe and do not respond to other treatment.Hearing aids may be needed for severe hearing loss.Avoid sudden movements that may aggravate symptoms. You may need help walking due to loss of balance during attacks.Avoid bright lights, TV, and reading during attacks, which may make symptoms worse. Rest during severe episodes, and gradually increase activity.Avoid hazardous activities such as driving, operating heavy machinery, climbing, and similar activities until 1 week after symptoms disappear.Expectations (prognosis)The outcome varies. Meniere's disease can often be controlled with treatment. Recovery may occur spontaneously. However, the disorder may be chronic or disabling.ComplicationsInability to walk or function due to uncontrollable vertigoHearing loss on the affected sideCalling your health care providerCall for an appointment with your health care provider if symptoms of Meniere's disease, such as hearing loss, ringing in the ears, or dizziness, occur or worsen.PreventionThere is no known prevention for Meniere's disease, but prompt treatment of ear infection and other related disorders may be helpful.ReferencesSchessel DA, Minor LB, Nedzelski J. Meniere's disease and other peripheral vestibular disorders. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 4th ed. Philadelphia, Pa; Mosby Elsevier; 2005:chap 142.