Skip to main content Accessibility help
×
Home

Cochlear implantation after selective vestibular nerve section

  • C Martens (a1), A Csillag (a2), M Davies (a3) and P Fagan (a1)

Abstract

Introduction:

Vestibular nerve section is a highly effective procedure for the control of vertigo in patients with Ménière's disease. However, hearing loss is a possible complication. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should make it possible to establish the presence or absence of an intact cochlear nerve.

Method:

Case report and review of the world literature concerning cochlear implantation after vestibular nerve section.

Case report:

We present a patient who developed subtotal hearing loss after vestibular nerve section. Magnetic resonance imaging was used to verify the presence of an intact cochlear nerve, enabling successful cochlear implantation.

Conclusion:

To our knowledge, this is the first reported case of cochlear implantation carried out after selective vestibular nerve section. Given recent advances in cochlear implantation, this case indicates that it is essential to make every effort to spare the cochlear nerve if vestibular nerve section is required. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should be undertaken to establish whether the cochlear nerve is intact.

Copyright

Corresponding author

Address for correspondence: Dr Camilla Martens, Department of Otolaryngology, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, Sydney, NSW, Australia 2010 Fax: + 61 2 9332 7234 E-mail: camillamartens@gmail.com

References

Hide All
1Lustig, LR, Yeagle, J, Niparko, JK, Minor, LB. Cochlear implantation in patients with bilateral Ménière's syndrome. Otol Neurotol 2003;24:397403
2Zanetti, D, Guida, M, Barezzani, MG, Campovecchi, C, Nassif, N, Pinelli, L et al. Favorable outcome of cochlear implant in VIIIth nerve deficiency. Otol Neurotol 2006;27:815–23
3Warren, FM 3rd, Wiggins, RH 3rd, Pitt, C, Harnsberger, HR, Shelton, C. Apparent cochlear nerve aplasia: to implant or not to implant? Otol Neurotol 2010;31:1088–94
4Govaerts, PJ, Casselman, J, Daemers, K, De Beukelaer, C, Yperman, M, De Ceulaer, G. Cochlear implants in aplasia and hypoplasia of the cochleovestibular nerve. Otol Neurotol 2003;24:887–91

Keywords

Cochlear implantation after selective vestibular nerve section

  • C Martens (a1), A Csillag (a2), M Davies (a3) and P Fagan (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed