Joyce Pascal Rozario, Anjali Lepcha, John Mathew1Department of Otology, Neurotology and Implant Otology, Christian Medical College, 1
Department of ENT, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
Stapedotomy, though a common surgical procedure for otosclerosis, if inadequately performed, can cause dreaded complications of vertigoand profound hearing loss. Labyrinthectomy with cochlear implantation can be considered in cases of intractable vertigo, as numerous reportshave 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 andcochlear implantation. This patient had good control of vertigo postoperatively and the Dizziness Handicap Index score pre‑ and post‑operativewere 80 and 38, respectively, with significant improvement in speech perception.
Keywords: Cochlear implantation, labyrinthectomy, simultaneous labyrinthectomy and cochlear implantation, stapedotomy