Otology & Neuerotology2026年9月17日

梅尼爾氏症患者之迷路切除術與人工耳蝸植入術:系統性文獻回顧

// Labyrinthectomy and Cochlear Implantation in Patients With Meniere Disease: A Systematic Review

系統性回顧評估耳迷路切除合併人工耳蝸(聽力重建)植入治療梅尼爾氏症的聽覺、前庭與耳鳴結果|納入8篇、123耳,主要同期手術;術後多數聽力改善,殘餘眩暈與耳鳴多為輕度,偶有併發或復發性眩暈|對治療失效或晚期病人,可兼顧眩暈控制與聽能復健。

// This systematic review evaluated audiological, vestibular, tinnitus, and postoperative outcomes after labyrinthectomy combined with cochlear implantation for Ménière disease. Following PRISMA-guided searches of MEDLINE/PubMed, Scopus, and Embase, eight studies (123 implanted ears) were included, reporting mostly simultaneous and some sequential procedures. Despite heterogeneous outcome measures, most studies showed measurable postoperative hearing benefit and generally low-to-mild residual dizziness and tinnitus, with surgical complications and occasional recurrent vertigo in selected cohorts. The combined labyrinthectomy and cochlear implantation approach can provide effective vertigo control and meaningful auditory rehabilitation in carefully selected patients with advanced or treatment-refractory Ménière disease.

Published 2026年9月9日

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