CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S281
DOI: 10.1055/s-0038-1640685
Abstracts
Otologie: Otology

Cochlea fibrosis after temporal bone fracture as a risk factor for cochlear implantation

R Wiebringhaus
1   Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin, Berlin
,
S Gräbel
1   Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin, Berlin
,
S Häußler
1   Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin, Berlin
,
F Raphael
1   Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin, Berlin
,
S Knopke
1   Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin, Berlin
,
H Olze
1   Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin, Berlin
› Author Affiliations
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    Introduction:

    Aim of the study was the evaluation of cochlea fibrosis, after temporal bone fracture, resulting in consecutive deafness, as well as the related difficulties in cochlear implantation (CI).

    Methods:

    Five patients, 6, 25, 28, 60 and 72 years of age, with unilateral temporal bone fracture and consecutive deafness were evaluated for CI. Besides audiological testing (Freiburger monosyllable test; pure-tone audiometry; BERA; functional test of the auditory nerve), each patient received CT and MRI investigation.

    Results:

    In four patients a complete electrode insertion was successful 4 – 179 month after fracture. Within these patients, in three cases a partly obliteration of the basal cochlea was present. In one case (14 month after trauma) a CI was not possible, due to extensive fibrosis of the cochlea, despite a residual liquid-signal in the MRI, resulting in apportion of the procedure. After satisfying implantation, these patients could be audiological rehabilitated successfully.

    Conclusion:

    Cochlear implantation is suitable for patients with temporal bone fracture and consecutive deafness for binaural hearing rehabilitation. There is a high risk for cochlea fibrosis after temporal bone fracture. Thus cochlear implantation should be performed soon after occurring trauma.


    #

    No conflict of interest has been declared by the author(s).

    Dr. med. univ. Robert Wiebringhaus
    Klinik für Hals-, Nasen- und Ohrenheilkunde, CVK, Berlin,
    Augustenburger Platz 1, 13353,
    Berlin

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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