Cochlear Implantation after Bilateral Otic Capsule-Violating Temporal Bone Fractures

Choi, Sung-Won; Oh, Se-Joon; Kong, Soo-Keun; Goh, Eui-Kyung

doi:10.35420/jcohns.2017.28.1.90

J Clin Otolaryngol Head Neck Surg 2017; 28(1):90-93

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2017.28.1.90

증례

Cochlear Implantation after Bilateral Otic Capsule-Violating Temporal Bone Fractures

Sung-Won Choi¹, Se-Joon Oh¹, Soo-Keun Kong¹, Eui-Kyung Goh¹^,^*

Author Information & Copyright ▼

¹Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea

^*교신저자: 고의경, 49241 부산광역시 서구 구덕로 179 부산대학교 의학전문대학원 이비인후과학교실 전화: (051) 240-7536·전송: (051) 246-8668 E-mail:goheky@gmail.com

© Copyright 2017 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 15, 2017; Revised: Apr 28, 2017; Accepted: May 19, 2017

Published Online: May 31, 2020

ABSTRACT

Temporal bone fractures through the otic capsule can cause profound sensorineural hearing loss. Patients deafened by bilateral temporal bone fractures may benefit from cochlear implantation. We report a case of a 56-year-old man with bilateral profound sensorineural hearing loss caused by otic capsule-violating bilateral temporal bone fractures due to severe head injury. The patient achieved satisfactory auditory rehabilitation after cochlear implantation. Imaging studies before cochlear implantation provided important information to enable the decision for the surgery and to determine the side. Through careful evaluation of the imaging studies, we believe cochlear implantation in such a patient can be a very effective method for auditory rehabilitation. The safe time period for ossification of the cochlea will be discussed. The benefit of preoperative repeated magnetic resonance imaging is highlighted. (J Clinical Otolaryngol 2017;28:90-93)

Keywords: Cochlear implantation; Hearing loss; Temporal bone fracture