Cochlear implant kanso 26/17/2023 ![]() ![]() Males are three to four times more predisposed to trauma than females. In children, road traffic accidents and falls are the most common causes, each accounting for 30 to 50% of temporal bone fractures (TBFs). Traumatic injuries to the temporal bone with resultant fractures are classified as otic capsule disrupting fractures or otic capsule sparing fractures. In these cases, post-operative bacterial meningitis can occur and should be treated aggressively with systemic antibiotics to avoid contralateral ossification of the labyrinth due to labyrinthitis. ConclusionĬochlear implantation in the presence of a visible fracture line is feasible and the surgical procedure must not be aborted at its discovery. The peculiarity of this case was its rarity, which was demonstrated by clear images that showed the fracture line on preoperative imaging and intraoperatively. The dreaded complications of cerebrospinal fluid otorrhea or non-auditory stimulation post-implant did not occur. Per- operatively, a clear fracture line was seen at the round window niche, but a normal insertion was performed despite the anticipated potential ossification at the fracture line. After all required work-up had been performed, he was admitted for a cochlear implant insertion. We present the case of a 31-month-old male with an otic capsule involving temporal bone fracture, who presented with ipsilateral profound hearing loss. Identification of an intra-operative fracture line with available images and the outcome of such cases has not been reported. In the event of hearing loss, early rehabilitation is therefore of paramount importance. The impact of hearing loss can be devastating, especially when occurring in children, with significant risk to speech development and sound localization. ![]() In the latter, hearing loss, facial nerve paralysis, cerebrospinal fluid leak and meningitis have been reported to occur. Temporal bone fractures are divided into otic capsule sparing and otic capsule involving fractures.
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