Case study: cochlear implantation in cochlear otospongiosis

被引:4
作者
Marfatia, Hetal
Shah, Keya [1 ,2 ]
Pareek, Ankur
Chatterjee, Chandrani
Goyal, Pankaj
机构
[1] Seth GS Med Coll, Dept ENT, Mumbai 400012, Maharashtra, India
[2] King Edward Mem Hosp, Bombay 400012, Maharashtra, India
关键词
Cochlear implantation; Otosclerosis; Otospongiosis; Sensorineural hearing loss; Facial nerve; FACIAL-NERVE STIMULATION; OTOSCLEROSIS; SURGERY;
D O I
10.1080/14670100.2019.1678894
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective and importance: Cochlear implantation can be performed successfully in patients with otospongiosis of the temporal bone with the potential for excellent audiological outcomes and high patient satisfaction. The purpose of this case report is to highlight the clinical considerations for implantation in cochlear otospongiosis including the need for careful pre-operative implant device selection, intra-operative surgical challenges such as the presence of hypervascularity and possible cochlear ossification resulting in difficulty in placing the electrode array and the possibility of postoperative facial nerve stimulation. Clinical presentation: A 14-year-old girl with cochlear otospongiosis likely due to osteogenesis imperfecta presented with progressive bilateral profound sensorineural hearing loss underwent successful cochlear implantation despite several challenges. Conclusion: Cochlear implantation in patients with cochlear otospongiosis with profound sensorineural hearing loss potentially may be very successful. Thorough pre-operative radiological evaluation is necessary. Possible intra-operative and post-operative challenges unique to these patients must be kept in mind. Adequate precautions should be taken to optimize the likelihood of complete electrode insertion such as using a depth gauge prior to inserting the electrode array and performing an intra-operative x-ray and / or neural response telemetry to confirm correct electrode placement.
引用
收藏
页码:121 / 125
页数:5
相关论文
共 10 条
  • [1] Bigelow DC, 1998, AM J OTOL, V19, P163
  • [2] CAUSSE JB, 1983, J LARYNGOL OTOL, P84
  • [3] Cochlear otosclerosis
    Cureoglu, Sebahattin
    Baylan, Muzeyyen Y.
    Paparella, Michael M.
    [J]. CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2010, 18 (05) : 357 - 362
  • [4] Spiral ligament and stria vascularis changes in cochlear otosclerosis: Effect on hearing level
    Doherty, JK
    Linthicum, FH
    [J]. OTOLOGY & NEUROTOLOGY, 2004, 25 (04) : 457 - 464
  • [5] Kelsall DC, 1997, AM J OTOL, V18, P336
  • [6] Cochlear implantation in otosclerosis
    Quaranta, N
    Bartoli, R
    Lo Priore, A
    Fernandez-Vega, S
    Giagnotti, F
    Quaranta, A
    [J]. OTOLOGY & NEUROTOLOGY, 2005, 26 (05) : 983 - 987
  • [7] Cochlear implantation in 3 patients with osteogenesis imperfecta: Imaging, surgery and programming issues
    Rotteveel, Liselotte J. C.
    Beynon, Andy J.
    Mens, Lucas H. M.
    Snik, Ad F. M.
    Mulder, Jef J.
    Mylanus, Emmanuel A. M.
    [J]. AUDIOLOGY AND NEURO-OTOLOGY, 2008, 13 (02) : 73 - 85
  • [8] Cochlear implantation in 53 patients with otosclerosis: Demographics, computed tomographic scanning, surgery, and complications
    Rotteveel, LJC
    Proops, DW
    Ramsden, RT
    Saeed, SR
    van Olphen, AF
    Mylanus, EAM
    [J]. OTOLOGY & NEUROTOLOGY, 2004, 25 (06) : 943 - 952
  • [9] COCHLEAR OTOSCLEROSIS - FACT OR FANTASY
    SCHUKNECHT, HF
    KIRCHNER, JC
    [J]. LARYNGOSCOPE, 1974, 84 (05) : 766 - 782
  • [10] TEMPORAL BONE IMAGING FOR COCHLEAR IMPLANTATION
    SEIDMAN, DA
    CHUTE, PM
    PARISIER, S
    [J]. LARYNGOSCOPE, 1994, 104 (05) : 562 - 565