About Chemical Labyrinthectomy
Key Highlights
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Minimally invasive procedure performed under local anesthesia.Targeted treatment that aims to preserve hearing while controlling vertigo.Effective alternative to more invasive surgical labyrinthectomy.Primarily an outpatient procedure with no major surgical incision.High success rate in controlling debilitating vertigo attacks.
Who is this surgery for?
- Unilateral, definite Meniere's disease with severe, disabling vertigo refractory to medical therapy (diuretics, betahistine, dietary modifications).
- Patients with poor hearing or non-serviceable hearing in the affected ear (often a criterion for gentamicin use).
- Failed conservative management including intratympanic steroid injections.
- Patients who are not ideal candidates for or wish to avoid vestibular nerve section surgery.
- To provide symptomatic relief and improve quality of life by eliminating unpredictable vertigo spells.
How to prepare
- Comprehensive audiological evaluation (pure-tone audiometry, speech discrimination) to document baseline hearing.
- Vestibular function tests (like Videonystagmography - VNG) to assess balance function.
- Detailed counseling with the ENT surgeon regarding goals, success rates, and risks, especially hearing loss.
- Informed consent process explaining the possibility of complete hearing loss in the treated ear.
- Pre-procedure medical clearance if needed. The patient may be asked to avoid blood thinners as advised.
- No need for general anesthesia fasting as it's typically done under local anesthesia.
Risks & possible complications
- Sensorineural hearing loss, ranging from mild to profound (complete loss) in the treated ear.
- Persistent dizziness or imbalance during the recovery period as the brain compensates.
- Tinnitus (ringing in the ear) may worsen or develop.
- Failure to control vertigo, requiring additional injections or alternative procedures.
- Rare risks include tympanic membrane perforation, infection (otitis media), or facial nerve injury.
- Development of a persistent vestibular imbalance or "wobbliness," especially in older patients.
Recovery & hospital stay
- Immediately after the injection, the patient must lie still with the treated ear upward for 20-30 minutes to allow medication absorption.
- Initial 24-48 hours may involve significant vertigo, nausea, and imbalance. Bed rest is often advised.
- Patients are prescribed medications for nausea and dizziness to manage acute symptoms.
- Avoid getting water in the ear for a specified period (e.g., one week) to prevent infection.
- Vestibular rehabilitation therapy (VRT) is often recommended to help the brain compensate for the reduced vestibular function.
- Follow-up appointments are crucial for monitoring hearing and vertigo control, typically at 1 week, 1 month, and 3 months.
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Typical hospital stay: 0 days (Outpatient) or 1 day for observation
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Expected recovery time: Initial vertigo: 1-2 weeks; Full compensation and stability: 4-6 weeks
Frequently Asked Questions
If you are considering chemical labyrinthectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for chemical labyrinthectomy in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform chemical labyrinthectomy. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for chemical labyrinthectomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 35 Thousand – 85 Thousand | 0 days (Outpatient) or 1 day for observation | ~ Initial vertigo: 1-2 weeks; Full compensation and stability: 4-6 weeks | Know More |
| Turkey | TRY 123 Thousand – 298 Thousand | 0 days (Outpatient) or 1 day for observation | ~ Initial vertigo: 1-2 weeks; Full compensation and stability: 4-6 weeks | Know More |
Top hospitals for Chemical Labyrinthectomy in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing chemical labyrinthectomy.
Emily Garcia, a 42-year-old elementary school...
Emily Garcia, a 42-year-old elementary school teacher and mother of two, had her life upended by Meniere's disease. For three years, she endured unpredictable, violent attacks of vertigo that felt like being on a spinning carnival ride, accompanied by roaring tinnitus and a feeling of fullness in her right ear. The attacks caused nausea, vomiting, and complete incapacitation, forcing her to take frequent medical leave and miss her children's school events. Despite strict low-sodium diets, diuretics, and steroid injections, her attacks became more frequent and severe. Her ENT, Dr. Chen, explained that her right ear's balance function was the source of the 'false alarms' causing the vertigo. After exhausting all conservative options, he recommended a chemical labyrinthectomy, an injection of gentamicin through the eardrum to disable the balance function of that inner ear, while aiming to preserve hearing. The procedure itself was quick, done in-office under local anesthesia. Emily felt pressure but no pain. The week following was difficult, as the treated ear caused significant imbalance and dizziness (the intended effect), requiring her to use a walker at home. Over six weeks, with diligent vestibular therapy, her brain compensated using her good left ear and her vision. The violent spinning attacks ceased entirely. While she has permanent mild imbalance in the dark and some high-frequency hearing loss, she calls it 'a fair trade.' Emotionally, she moved from a state of constant anxiety and grief over her lost independence to profound relief and reclaimed control. She is back teaching, can drive again, and no longer lives in fear of the next attack.
ENT Specialists for Chemical Labyrinthectomy
Explore experienced ent specialists who regularly perform chemical labyrinthectomy and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- ENT Specialist
Manipal Hospital Yeshwanthpur, Bangalore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- ENT Specialist
- 26 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore