Learn about Chemical Labyrinthectomy Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Chemical Labyrinthectomy and request assistance for cost estimates or appointments.

About Chemical Labyrinthectomy

A chemical labyrinthectomy is a specialized otologic procedure performed by an ENT (Ear, Nose, and Throat) surgeon to treat severe, intractable vertigo. It involves the injection of a vestibulotoxic medication, most commonly gentamicin, directly into the middle ear space. The medication is absorbed through the round window membrane, selectively damaging the hair cells of the inner ear's vestibular (balance) system while aiming to preserve hearing function. This chemical ablation reduces or eliminates the abnormal signals causing debilitating vertigo attacks. It is a minimally invasive alternative to surgical labyrinthectomy, primarily used for patients with unilateral Meniere's disease who have failed conservative management. The procedure is typically done under local anesthesia in an outpatient setting.

Key Highlights

    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.
  • checked Typical hospital stay: 0 days (Outpatient) or 1 day for observation
  • checked 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.

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.

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Manipal Hospital Dwarka

  • IconDelhi, India
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2478+ Rating

Manipal Hospital Jayanagar

  • IconBangalore, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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1837+ Rating

Manipal Hospital Salem

  • IconSalem, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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98+ Rating

Manipal Hospital Doddaballapur

  • IconBangalore, India
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65+ Rating

Manipal Hospital Salt Lake

  • IconKolkata, India
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135+ Rating

Manipal Hospital Goa

  • IconPanaji, India
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12320+ Rating

Manipal Hospital Kanakapura Road

  • IconBangalore, India
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185+ Rating

Manipal Hospital Ranchi

  • IconRanchi, India
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872+ Rating

Manipal Hospital Millers Road

  • IconBangalore, India
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418+ Rating

Manipal Hospital Hebbal

  • IconBangalore, India
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418+ Rating

Manipal Hospital Hebbal

  • IconBangalore, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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181+ Rating

KMC Hospital Mangalore

  • IconMangalore, India
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PATIENT REVIEW

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.

Dr. Muthu kumar s
  • 16 Years Experience
  • ENT Specialist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

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Dr. Gayatri Pandit
  • 21 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Diptarka Bhattacharyya
  • 14 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. J Jayabaskar
  • 9 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Shalina Ray
  • 26 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Anitha Kumari AM
  • 24 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Vijay Rangachari
  • 21 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Alok Banka
  • 18 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. EV Raman
  • 43 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Girish Rai
  • 38 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Bathi Reddy
  • 36 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Anitha Kumari AM
  • 24 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Satish Nair
  • 29 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Parvinderjit Singh Kohli
  • 20 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

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Dr. Vishal Sharma
  • 10 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Praveen Kumar R
  • 14 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

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Dr. Dathathri HA
  • 14 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

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Dr. Arun Raykar N Raykar
  • 19 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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Dr. Shalini Bansal
  • 8 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 550
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kharadi, Pune

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Dr. Shanthala MN
  • 26 Years Experience
  • ENT Specialist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar, Bangalore

OPD-desk synced • Updated