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This study aims to investigate the impact of cochlear implantation (CI) on various aspects affecting patients with MD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single tertiary centre\u2019s CI database for CI recipients with MD between 2014 and 2022 was screened retrospectively. Hearing, vertigo, tinnitus symptoms, and hearing-related QoL were assessed. Pre- and postoperative hearing tests in conjunction with subjective outcome measures by visual analogue scale (VAS) and validated tools such as the Dizziness Handicap Inventory (DHI), Tinnitus Handicap Inventory (THI) and Nijmegen Cochlear Implant Questionnaire (NCIQ), as well as the assessment of the pre- and postoperative Functional Level Scale (FLS) were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven ears were included (median age: 59 years at implantation). Following implantation, there was a significant enhancement in Word Recognition Scores at sound levels of 65 dB and 80 dB compared to before treatment (preop vs. 12 months postop: p\u2009=\u20090.012). However, no significant enhancement was observed for 50 dB. MD-related impairments improved significantly postoperatively, as measured by the VAS (vertigo: p\u2009=\u20090.017; tinnitus: p\u2009=\u20090.042), DHI (p\u2009=\u20090.043), THI (p\u2009=\u20090.043) and NCIQ (p\u2009&lt;\u20090.001). The FLS improved significantly (p\u2009=\u20090.020).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CI has positive effects on all areas examined in our cohort. However, discrimination of speech at low sound pressure levels remained problematic postoperatively. In patients suffering from MD, the prioritized treatment goals include not only improved hearing but also the rehabilitation of vertigo and tinnitus, as well as the enhancement of QoL. 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MP and SE received conference support from MED-EL\u00ae. All other authors have no interests of conflicts. All authors do not have any financial- or non-financial interests to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was performed in accordance to the Declaration of Helsinki and was approved by the ethical committee of the University Heidelberg under the protocol S-319\/2021.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Patient written informed consent was obtained and is available at any time.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}