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What is Labyrinthectomy?

Labyrinthectomy is an effective surgical procedure performed to manage poorly compensated unilateral peripheral vestibular dysfunction in the presence of a non-serviceable hearing ear.

Vertigo relief is achieved at the cost of the residual hearing in the ear to be operated; hence patients with non serviceable hearing are reserved for this procedure.

The common principle of labyrinthectomy is to open all the semi-circular canals of the ear symmetrically. The five individual groups of neurosensory epithelia under the direct visualization are excised after exposing all ampullae and vestibules.

This is performed from the diseased ear to eliminate abnormal vestibular input.

Who is a Candidate for a Labyrinthectomy?

Patients diagnosed with Meniere's disease, treated with more conservative treatments, are potential candidates for a labyrinthectomy. It would help if you also fit the following criteria to be considered for this procedure:

  • If you have conservative treatment, which got failed for three to six months.
  • If you have severe hearing loss in the affected ear.
  • If you are experiencing severe disability related to the disease
  • Labyrinthectomy is performed only in cases with unilateral vestibular dysfunction with ipsilateral severe hearing loss.

Types of Labyrinthectomy:

There are two main techniques for vestibular end-organ ablation, which include:

  • Transcanal Labyrinthectomy
  • Transmastoid Labyrinthectomy

Advantages of Transcanal Labyrinthectomy include:

  • Less invasive than transmastoid labyrinthectomy.
  • The approach is direct to the vestibular organ.
  • Operation time is shorter.

Before labyrinthectomy, rehabilitative vestibular therapy should be attempted.

Labyrinthectomy is contraindicated in cases where the affected ear is the only hearing ear.

Chemical labyrinthectomy or vestibular nerve sectioning is performed in patients having a serviceable hearing.

What can you Expect after Labarynthectomy?

After a labyrinthectomy, you will be moved to the recovery room and monitored in the hospital for a few days. Your doctor may prescribe medications for nausea, vomiting, and to prevent infection. You will be discharged once our doctor ensures you have regained enough balance to take care of yourself. Some patients may need a walker to walk.

You may need vestibular or balance therapy with a physical therapist for the effective recovery of your balance.

We at Dr. Neetu Modgil ENT are here to provide you with the best and most advanced labyrinthectomy process.

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  • Dr. Neetu really cares for her patients & this clearly shows. My experience with her has been very good. She is very patient, clearly explains the treatment & answers any queries regarding it. Thank you for the services.

    S. Kiran

  • Dr Neetu Modgil was excellent. Thorough, kind and patient, she did an excellent job. I will be requesting her services for my next appointment.

    Chandu Reddy

  • She is a blessing to this profession . So humble and approachable. she operated my ear , when every doctor i visited said no to me saying the risk of surgery is more . But she not only took risk...

    Ipshita Purohit

  • In my life i have met number of great doctor , but the way she talks , listens and convince the patient that is very rare and incredible , Very much experience ,humble doctor , highly recommended for any ENT...

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  • It was good experience with doctor Neethu the way she treated me, felt like she treated me like her kid, Listens to our problems patiently,Her analysis and diagnosis was good.Clinic's ambience was quite good as well. I'd recommend her.

    Vijay Panwar

  • Visited for Ear wax. Explained well to me. removed my ear wax very well. Dr. is Very friendly with me.

    Aman Singh Mehta

  • She listen to my problem very attentively and prescribed medicine to take care of my problem. Besides being a good doctor she’s a wonderful human being too.

    Neha Nagar

  • I went for throat infection and clicking sound. She was very patient to hear my issue. Then did her examination and explained me the issue. She don't writes unnecessary tests and give minimum and required medication. I wish to have...

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  • she is a friendly doctor and explained the disease very well. She had helped me out in my difficult times. Am very thankful yo her. Would like to recommend her to others.

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  • I am obliged for everything doctor has done for me from day one. I am absolutely fine three months post surgery. I had many doubts before surgery but now as I m going well , I am happy and content.


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