Cochlear Implant in Tuberculous Otitis Media Induced Total Deafness: A Case Report

WANG Jian-yan; YANG Luo-ying; CHEN Yu-bin; LI Peng

doi:10.3969/j.issn.1672-4933.2023.05.008

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Cochlear Implant in Tuberculous Otitis Media Induced Total Deafness: A Case Report

Preoperative Evaluation and Postoperative Outcome Assessment of Cochlear Implant | 更新时间：2023-11-03

- Cochlear Implant in Tuberculous Otitis Media Induced Total Deafness: A Case Report
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 21, Issue 5, Pages: 484-485(2023)
- 作者机构：
  
  中山大学附属第三医院广州 510630
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.05.008
  CLC：
- Published：15 September 2023，
  
  Received：01 July 2023，
- 稿件说明：
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王健艳,杨洛盈,陈愈彬等.1例结核性中耳炎致全聋的困难人工耳蜗植入[J].中国听力语言康复科学杂志,2023,21(05):484-485.

WANG Jian-yan,YANG Luo-ying,CHEN Yu-bin,et al.Cochlear Implant in Tuberculous Otitis Media Induced Total Deafness: A Case Report[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):484-485.
王健艳,杨洛盈,陈愈彬等.1例结核性中耳炎致全聋的困难人工耳蜗植入[J].中国听力语言康复科学杂志,2023,21(05):484-485. DOI： 10.3969/j.issn.1672-4933.2023.05.008.

WANG Jian-yan,YANG Luo-ying,CHEN Yu-bin,et al.Cochlear Implant in Tuberculous Otitis Media Induced Total Deafness: A Case Report[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):484-485. DOI： 10.3969/j.issn.1672-4933.2023.05.008.

摘要

结核性中耳炎（tuberculous otitis media，TOM）是一种罕见的肺外结核感染，部分可导致严重的感音神经性聋，如果双耳发病，就需要考虑人工耳蜗植入术。而TOM患者可能存在中耳肉芽增生、解剖标志不清、圆窗难以辨认的问题，甚至出现耳蜗骨化，给人工耳蜗植入手术带来巨大的挑战。现将我科收治的一例TOM伴双耳全聋患者的一期困难人工耳蜗植入进行报道。

Abstract

Tuberculous otitis media (TOM) is a rare extrapulmonary tuberculosis infection. TOM can lead to severe sensorineural deafness

and in cases of binaural sensorineural deafness

cochlear implantation is considered. However

TOM patients may suffer from middle ear granulation hyperplasia

unclear anatomical marks

difficult to identify cochlear window

and even cochlear ossification

which bring great challenges to cochlear implant surgery. This paper reports a case of TOM with binaural total deafness treated in our department for phase I difficult cochlear implantation.

关键词

结核性中耳炎人工耳蜗耳蜗骨化鼓室硬化

Keywords

Tuberculous otitis mediaCochlear implantCochlear ossificationTympanosclerosis

references

Chen CF, Liu ZH, Xie J, et al. Cochlear implant challenges encountered in tuberculous otitis media[J]. Asian Pac J Trop Med, 2012, 5(5): 416-419.

Chen L, Ye S. Tuberculous Otitis Media Complicated by Meningitis-Induced Bilateral Sensorineural Hearing Loss: A Case Report[J]. Ear Nose Throat J, 2021,100(3_suppl): 225S-228S.

Nishiike S, Irifune M, Doi K, et al. Tuberculous otitis media: clinical aspects of 12 cases[J]. Ann Otol Rhinol Laryngol, 2003,112(11):935-938.

Kuan CC, Kaga K, Tsuzuku T. Tuberculous meningitis-induced unilateral sensorineural hearing loss: a temporal bone study[J]. Acta Otolaryngol, 2007, 127(5): 553-557.

Vaamonde P, Castro C, Garcia-Soto N, et al. Tuberculous otitis media: a significant diagnostic challenge[J]. Otolaryngol Head Neck Surg, 2004,130(6):759-766.

Bhalla RK, Jones TM, Rothburn MM, et al. Tuberculous otitis media -- a diagnostic dilemma[J]. Auris Nasus Larynx, 2001,28(3):241-243.

Smullen JL, Balkany TL.Implantation of the ossified cochlea[J]. Operative Techn Otolaryngology-Head & Neck Surg 2005; 16(2): 117-120.

Hao XP, Gong SS, Li YX, et al. Analysis of clinical features and treatment outcomes of patients with tuberculous otitis media and mastoiditis[J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2010,45(11):912-915.

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