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Cochlear implantation following temporal bone fracture

Published online by Cambridge University Press:  29 June 2007

Andrew E. Camilleri ,
Joseph G. Toner ,
Katie L. Howarth ,
Suzy Hampton  and
Richard T. Ramsden
Andrew E. Camilleri*
Affiliation:
Departments of Otolaryngology, Royal Infirmary, Manchester and City Hospital, Belfast, UK.
Joseph G. Toner
Affiliation:
Departments of Otolaryngology, Royal Infirmary, Manchester and City Hospital, Belfast, UK.
Katie L. Howarth
Affiliation:
Departments of Otolaryngology, Royal Infirmary, Manchester and City Hospital, Belfast, UK.
Suzy Hampton
Affiliation:
Departments of Otolaryngology, Royal Infirmary, Manchester and City Hospital, Belfast, UK.
Richard T. Ramsden
Affiliation:
Departments of Otolaryngology, Royal Infirmary, Manchester and City Hospital, Belfast, UK.
*
Address for correspondence: Mr A. E. Camilleri, F.R.C.S., Department of Otolaryngology, Wythenshawe Hospital, Southmoor Road, Wythenshawe, Manchester M23 9LT. Fax: 0161-291-2392
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Abstract

Seven cases of profound hearing impairment following either unilateral or bilateral temporal bone fracture are presented who were implanted with the Nucleus 22 channel or Ineraid devices. Six patients suffered bilateral temporal bone fractures. One patient had prior congenital unilateral profound hearing impairment. This patient suffered a unilateral temporal bone fracture. Six patients became regular users of their implants. One gained little benefit and became a non-user. Two of the regular users experienced facial nerve stimulation, which could not be programmed out. In these two cases the implant was removed and the contralateral ear successfully implanted. Implant-aided audiometry demonstrated a hearing threshold of 40–50 dB at nine months after switch-on. The reliability of computed tomography (CT) scanning in predicting cochlear patency in cases of temporal bone fracture will be discussed. The benefit of complimentary imaging with magnetic resonance (MR) is highlighted.

Keywords

Cochlear implantTemporal bone
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 5 , May 1999 , pp. 454 - 457
Copyright
Copyright © JLO (1984) Limited 1999

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Footnotes

Presented at the Second International Base of Skull Congress (including the seventh Annual meeting of the American Skull Base Society), San Diego, California, June 29-A July 1996.

References

Clark, G. M., Shepard, R. K., Franz, B. K. (1988) The histopathology of the human temporal bone and auditory central nervous system following cochlear implantation in a patient. Acta Otolaryngologica (Stockholm) 448: 1–65.Google Scholar
Cohen, N. L., Hoffman, R. A., Stroschein, M. (1988) Medical or surgical complications related to the Nucleus multichannel cochlear implant. Annals of Otology, Rhinology and Laryngology (Suppl 135) 97: 8–13.Google Scholar
Fredrickson, J. M., Griffith, A. W., Lindsay, J. R. (1963) Transverse fracture of the temporal bone: A clinical and histopathologic study. Archives of Otolaryngology 78: 770–784.Google Scholar
Green, J. D., Marion, M. S., Hinojosa, R. (1991) Labyrinthitis ossificans: Histopathologic consideration for cochlear implantation. Otolaryngology – Head and Neck Surgery 140: 320–326.Google Scholar
Kerr, A. G., Schuknecht, H. F. (1968) The spiral ganglion in profound deafness. Acta Otolaryngologica (Stockholm) 65: 586–597.Google Scholar
Laszig, R., Terwey, B., Battmer, R. D., Hesse, G. (1988) Magnetic resonance imaging (MRI) and high resolution computed tomography (HRCT) in cochlear implant candidates. Scandinavian Audiology (Suppl 30): 197–200.Google Scholar
Linthicum, F. H., Fayad, J., Otto, S. R. (1991) Cochlear implant histopathology. American Journal of Otology 12: 245–311.Google Scholar
Nadol, J. B. Jr., Young, Y.-S., Glynn, R. J. (1989) Survival of Spiral ganglion cells in Profound sensorineural hearing loss: Implications for cochlear implantation. Annals of Otology, Rhinology and Laryngology 98: 411–416.CrossRefGoogle ScholarPubMed
Otte, J., Schuknecht, H. F., Kerr, A. G. (1978) Ganglion cell populations in normal and pathological human cochleae. Implications for cochlear implantation. Laryngoscope 88: 1231–1246.CrossRefGoogle ScholarPubMed
Schuknecht, H. F., Neff, W. D., Perlman, H. B. (1951) An experimental study of auditory damage following blows to the head. Annals of Otology, Rhinology and Laryngology 60: 273–289.CrossRefGoogle ScholarPubMed
Siedman, D. A., Chute, P. M., Parisier, S. (1994) Temporal bone imaging for cochlear implantation. Laryngoscope 104: 562–565.Google Scholar
Summerfield, A. Q., Marshall, D. H. (1995) MRC Institute of Hearing Research: Evaluation of the National Cochlear Implant programme: Cochlear implantation in the UK 1990–1994. HMSO, 1995.Google Scholar