alexa Bilateral Temporal Bone Fracture Resulting in Expedited Simultaneous Bilateral Cochlear Implantation
ISSN: 2167-1222

Journal of Trauma & Treatment
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Case Report

Bilateral Temporal Bone Fracture Resulting in Expedited Simultaneous Bilateral Cochlear Implantation

Kyle Vankoevering and Gregory J Basura*
Department of Otolaryngology/Head and Neck Surgery, The University of Michigan, USA
Corresponding Author : Gregory J Basura
Assistant Professor, Department of Otolaryngology/Head and Neck Surgery
Division of Otology/Neurotology-Skull Base Surgery, The University of Michigan
1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
Tel: (734) 936-8006
Fax: (734) 936-9625
E-mail: [email protected]
Received Aprial 04, 2014;; Accepted August 27, 2014; Published August 29, 2014
Citation: Vankoevering K, Basura GJ (2014) Bilateral Temporal Bone Fracture Resulting in Expedited Simultaneous Bilateral Cochlear Implantation. J Trauma Treat 3:208. doi:10.4172/2167-1222.1000208
Copyright: 2014 Vankoevering K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Temporal bone fractures following blunt force trauma can result in significant morbidity including complete hearing loss. We present the case of a 15 year-old male who suffered traumatic bilateral transverse temporal bone fractures through both cochleae, resulting in profound bilateral hearing loss. Having met criteria for cochlear implantation, he was successfully managed with expedited, simultaneous bilateral cochlear implantation preceded immediately by evoked auditory brainstem response testing. The auditory brainstem response demonstrated weak wave V activity with high-level stimulation, and placement of the cochlear implants albeit it challenging secondary to early ossification of the cochlea, was successfully performed 5 weeks post-trauma. This case underscores the importance or early diagnosis and expedited implantation following otic capsule fractures to optimize chances for meaningful hearing rehabilitation prior to ossification of inner ear structures.

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