# Cochlear Implants in Menière’s Disease []() [hearbetter](https://hearbetter.medel.com/en-int/) > Cochlear Implants in Menière’s Disease [ Back ](javascript:history.back()) # Cochlear Implants in Menière’s Disease ## **SCIENCE UPDATE** *New scientific studies summarized for you* ### **Cochlear Implants in Menière’s Disease** (Original title: *Hearing and Vestibular Outcomes in Patients Undergoing Labyrinthectomy and Cochlear Implant in End-Stage Menière’s Disease”*, 2025, Almashhadani et al.) ### **Key Message** Simultaneous labyrinthectomy and cochlear implantation (CI) is an effective treatment for patients with end-stage Menière’s disease (MD), offering significant improvements in hearing, vertigo control, and tinnitus, especially in younger patients. ### **Background** In advanced stages of Menière’s disease, patients may experience profound hearing loss and intractable vertigo. While labyrinthectomy effectively controls vertigo, it sacrifices residual hearing. Cochlear implantation offers a solution for hearing restoration. This study investigates the combined approach of labyrinthectomy and CI, performed either simultaneously or sequentially, as a comprehensive treatment for end-stage MD. - ### **Method** – Retrospective study – 39 patients treated between 2014 and 2023 Mean age: 59.3 years; 24 patients <65 years 15 patients >65 years Severe-profound hearing loss Intractable vertigo Unilateral (22 patients) or bilateral MD (10 pt) or secondary menieriform disorders (7 pt) Average follow-up duration: 28 months - ### **Evaluation** – Pure Tone Audiometry (PTA) and Speech Discrimination Scores (SDS) for hearing – Dizziness Handicap Inventory (DHI) for vertigo – Tinnitus Handicap Inventory (THI) for tinnitus – Subgroup analyses were conducted based on age (<65 vs. ≥65) and MD type (unilateral, bilateral, or secondary). - **Results Hearing** **–** Significant improvement in PTA – SDS improved overall, especially in younger patients and those with bilateral MD – Patients with contralateral hearing aids showed enhanced binaural benefits**Vertigo –** DHI scores improved significantly – 54% of patients experienced complete resolution of vertigo – Older patients (≥65) showed less vestibular compensation - **Tinnitus** – THI scores dropped significantly – Most patients reported subjective tinnitus relief when the CI was active - **Safety** – No adverse surgical outcomes were reported – Simultaneous procedures reduced surgical burden and risk of cochlear ossification ### **Conclusion** Simultaneous labyrinthectomy and cochlear implantation is an effective approach for managing both hearing loss and vertigo in patients with end-stage Menière’s disease, offering significant benefits in hearing restoration, tinnitus suppression, and vertigo control. Careful patient selection and counselling are essential. (Read the full paper here: [Otology & Neurotology](https://journals.lww.com/otology-neurotology/fulltext/2025/10000/hearing_and_vestibular_outcomes_in_patients.12.aspx)) ## Stay ahead in cochlear implant innovation Subscribe for peer-reviewed updates, case studies, and the latest developments in hearing restoration technology from leading medical professionals. Subscribe Information about MED-EL's privacy policy can be found [here](https://hearbetter.medel.com/en-int/privacy-policy/). A valid email is required.