Chemical labyrinthectomy and cochlear implantation for Meniere's disease -An effective treatment or a last resort?

The surgical management of Meniere's disease presents a difficult and contr oversial problem and includes various procedures ranging from 'placebo oper ations' to vestibular nerve section. The situation is even more complex in the case where the only hearing ear is affected. We present a case of sever e debilitating vertigo due to Meniere's disease that was treated by chemica l labyrinthectomy and cochlear implantation: This unique management strateg y allowed restoration of useful hearing and relief of vertigo.