The existence of dual inner ear pathology such as unilateral Meniere's disease (MD) with a contralateral vestibular schwannoma (VS) is very rare, but provides the otologist with a significant management dilemma. In this study, we present 5 cases of unilateral disabling MD with a contralateral VS in the better hearing ear. Conservative management of the VS is mandated unless there are impending complications, with management directed toward controlling the vertigo attributed to MD. If and when the VS requires intervention, or the hearing in that ear deteriorates to unserviceable levels, cochlear implant of the ear affected by MD prior to addressing the VS provides optimal management.

DISPENZA F, DE STEFANO A, FLANAGAN S, ROMANO G, SANNA M (2008). Decision making for solitary vestibular schwannoma and contralateral Meniere’s disease. AUDIOLOGY & NEURO-OTOLOGY, 13, 53-57 [10.1159/000108109].

Decision making for solitary vestibular schwannoma and contralateral Meniere’s disease

DISPENZA, Francesco
;
2008-01-01

Abstract

The existence of dual inner ear pathology such as unilateral Meniere's disease (MD) with a contralateral vestibular schwannoma (VS) is very rare, but provides the otologist with a significant management dilemma. In this study, we present 5 cases of unilateral disabling MD with a contralateral VS in the better hearing ear. Conservative management of the VS is mandated unless there are impending complications, with management directed toward controlling the vertigo attributed to MD. If and when the VS requires intervention, or the hearing in that ear deteriorates to unserviceable levels, cochlear implant of the ear affected by MD prior to addressing the VS provides optimal management.
2008
DISPENZA F, DE STEFANO A, FLANAGAN S, ROMANO G, SANNA M (2008). Decision making for solitary vestibular schwannoma and contralateral Meniere’s disease. AUDIOLOGY & NEURO-OTOLOGY, 13, 53-57 [10.1159/000108109].
File in questo prodotto:
File Dimensione Formato  
10. decision making VS and MD.pdf

Solo gestori archvio

Tipologia: Versione Editoriale
Dimensione 2.6 MB
Formato Adobe PDF
2.6 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/29360
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 10
  • ???jsp.display-item.citation.isi??? 6
social impact