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Pitfalls in the management of monaural deafness

Published online by Cambridge University Press:  24 May 2011

Y-M Feng*
Affiliation:
Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, China
Y-Q Wu
Affiliation:
Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, China
H-Q Zhou
Affiliation:
Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, China
H-B Shi*
Affiliation:
Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, China
*
Address for correspondence: Dr Shi HaiBo, Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, Shanghai 200233, China Fax: (8621) 64834143 E-mail: [email protected]

Abstract

Objective:

We report a patient who underwent cochlear implantation in an ear with long-term deafness, after an acoustic neuroma had been removed surgically from the other, hitherto good ear and the cochlear nerve had subsequently been resected to relieve severe tinnitus.

Method:

Case report.

Results:

The patient could not tolerate the cochlear implant, because of a moderate headache due to the stimulation level necessary for environmental sound discrimination.

Conclusion:

Cochlear implantation in patients with long-term deafness should be considered carefully, even if deafness is monaural.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Blamey, P, Arndt, P, Bergeron, F, Bredberg, G, Brimacombe, J, Facer, G et al. Factors affecting auditory performance of postlinguistically deaf adults using cochlear implants. Audiol Neurootol 1996;1:293306Google ScholarPubMed
2Proops, DW, Donaldson, I, Cooper, HR, Thomas, J, Burrell, SP, Stoddart, RL et al. Outcomes from adult implantation, the first 100 patients. J Laryngol Otol 1999;113(suppl 24):513CrossRefGoogle Scholar
3Blamey, PJ, Pyman, BC, Gordon, M, Clark, GM, Brown, AM, Dowell, RC et al. Factors predicting postoperative sentence scores in postlinguistically deaf adult cochlear implant patients. Ann Otol Rhinol Laryngol 1992;101:342–8CrossRefGoogle ScholarPubMed
4Gantz, BJ, Woodworth, GG, Knutson, JF, Abbas, PJ, Tyler, RS. Multivariate predictors of audiological success with multichannel cochlear implants. Ann Otol Rhinol Laryngol 1993;102:909–16CrossRefGoogle ScholarPubMed
5van Dijk, JE, van Olphen, AF, Langereis, MC, Mens, LH, Brokx, JP, Smoorenburg, GF. Predictors of cochlear implant performance. Audiology 1999;38:109–16CrossRefGoogle ScholarPubMed
6Waltzman, SB, Fisher, SG, Niparko, JK, Cohen, NL. Predictors of postoperative performance with cochlear implants. Ann Otol Rhinol Laryngol Suppl 1995;165:1518Google ScholarPubMed
7Summerfield, AQ, Marshall, DH. Preoperative predictors of outcomes from cochlear implantation in adults: performance and quality of life. Ann Otol Rhinol Laryngol Suppl 1995;166:105–8Google ScholarPubMed
8Linthicum, FH Jr, Fayad, JN. Spiral ganglion cell loss is unrelated to segmental cochlear sensory system degeneration in humans. Otol Neurotol 2009;30:418–22CrossRefGoogle ScholarPubMed
9Green, KM, Julyan, PJ, Hastings, DL, Ramsden, RT. Auditory cortical activation and speech perception in cochlear implant users: effects of implant experience and duration of deafness. Hear Res 2005;205:184–92CrossRefGoogle ScholarPubMed
10Pantev, C, Dinnesen, A, Ross, B, Wollbrink, A, Knief, A. Dynamics of auditory plasticity after cochlear implantation: a longitudinal study. Cereb Cortex 2006;16:31–6CrossRefGoogle ScholarPubMed
11Pelizzone, M, Kasper, A, Hari, R, Karhu, J, Montandon, P. Bilateral electrical stimulation of a congenitally-deaf ear and of an acquired-deaf ear. Acta Otolaryngol 1991;111:263–8CrossRefGoogle ScholarPubMed
12Aristegui, M, Denia, A. Simultaneous cochlear implantation and translabyrinthine removal of vestibular schwannoma in an only hearing ear: report of two cases (neurofibromatosis type 2 and unilateral vestibular schwannoma). Otol Neurotol 2005;26:205–10CrossRefGoogle Scholar
13Hoffman, RA, Kohan, D, Cohen, NL. Cochlear implants in the management of bilateral acoustic neuromas. Am J Otol 1992;13:525–8Google ScholarPubMed
14Tono, T, Ushisako, Y, Morimitsu, T. Cochlear implantation in an intralabyrinthine acoustic neuroma patient after resection of an intracanalicular tumor. Adv Otorhinolaryngol 1997;52:155–7Google Scholar
15Arriaga, MA, Marks, S. Simultaneous cochlear implantation and acoustic neuroma resection: imaging considerations, technique, and functional outcome. Otolaryngol Head Neck Surg 1995;112:325–8CrossRefGoogle ScholarPubMed
16Kveton, JF, Abbott, C, April, M, Drumheller, G, Cohen, N, Poe, DS. Cochlear implantation after transmastoid labyrinthectomy. Laryngoscope 1989;99:610–13CrossRefGoogle ScholarPubMed
17Zwolan, TA, Shepard, NT, Niparko, JK. Labyrinthectomy with cochlear implantation. Am J Otol 1993;14:220–3Google ScholarPubMed
18Neff, BA, Wiet, RM, Lasak, JM, Cohen, NL, Pillsbury, HC, Ramsden, RT et al. Cochlear implantation in the neurofibromatosis type 2 patient: long-term follow-up. Laryngoscope 2007;117:1069–72CrossRefGoogle ScholarPubMed