학술논문
Emergency Unilateral Cochlear Implantation in Sudden Bilateral Severe-to-Profound Sensorineural Hearing Loss After Temporal Bone Fracture: A Case Report
CASE REPORT: OTOLOGY
CASE REPORT: OTOLOGY
Document Type
Academic Journal
Author
Source
B-ENT. October 2023, Vol. 19 Issue 4, p252, 4 p.
Subject
Language
English
Abstract
Introduction A temporal bone fracture is a sign of high-energy trauma. Temporal bone fractures are traditionally classified as being transverse, longitudinal, or mixed. Loss of audiovestibular function is a common [...]
We report the case of a 34-year-old male with bilateral deafness, acute vestibular syndrome, right-sided facial paralysis, cerebrospinal fluid leakage, and hemorraghic otorrhea after blunt high-impact temporal bone trauma. Imaging demonstrated a right-sided mixed temporal bone fracture with involvement of the otic capsule without disruption of the vestibulocochlear nerves while audiometric testing confirmed bilateral profound sensorineural hearing loss. An urgent subtotal petrosectomy was performed to control bleeding from the jugular bulb, manage the cerebrospinal fluid leakage, decompress the facial nerve in the tympanic segment, and perform cochlear implantation due to the risk of cochlear fibrosis. The short-term outcome with regard to hearing, speech understanding, and balance is reported. Key words: Cochlear fibrosis, cochlear implantation, temporal bone fracture
We report the case of a 34-year-old male with bilateral deafness, acute vestibular syndrome, right-sided facial paralysis, cerebrospinal fluid leakage, and hemorraghic otorrhea after blunt high-impact temporal bone trauma. Imaging demonstrated a right-sided mixed temporal bone fracture with involvement of the otic capsule without disruption of the vestibulocochlear nerves while audiometric testing confirmed bilateral profound sensorineural hearing loss. An urgent subtotal petrosectomy was performed to control bleeding from the jugular bulb, manage the cerebrospinal fluid leakage, decompress the facial nerve in the tympanic segment, and perform cochlear implantation due to the risk of cochlear fibrosis. The short-term outcome with regard to hearing, speech understanding, and balance is reported. Key words: Cochlear fibrosis, cochlear implantation, temporal bone fracture