title: Decision making for solitary vestibular schwannoma and contralateral Meniere's disease.
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.
authors.affiliation: Dipartimento di Scienze Otorinolaringoiatriche, Università degli Studi di Palermo, Palermo, Italia. francesco-dispenza@libero.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Dispenza
authors.forename: Alessandro
authors.initials: A
authors.lastname: De Stefano
authors.forename: Sean
authors.initials: S
authors.lastname: Flanagan
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Romano
authors.forename: Mario
authors.initials: M
authors.lastname: Sanna
mesh_terms: D000368:Aged; D001299:Audiometry; D003054:Cochlear Implants; D003657:Decision Making; D005260:Female; D007839:Functional Laterality; D034381:Hearing Loss / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000150:complications* / Q000628:therapy*; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000150:complications* / Q000601:surgery*