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Labyrinthine sequestration secondary to auditory implantation: report of two cases and review of the literature

Published online by Cambridge University Press:  11 December 2015

E Warner ,
N Eze ,
S Connor  and
D Jiang
E Warner
Affiliation:
Department on Otolaryngology, Guy's Hospital, Guy's and St Thomas’ NHS Foundation Trust, London, UK
N Eze
Affiliation:
Department on Otolaryngology, Guy's Hospital, Guy's and St Thomas’ NHS Foundation Trust, London, UK
S Connor
Affiliation:
Department of Radiology, Guy's Hospital, Guy's and St Thomas’ Hospital NHS Foundation Trust, London, UK
D Jiang*
Affiliation:
St Thomas’ Hearing Implant Centre, St Thomas’ Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
*
Address for correspondence: Mr Dan Jiang, St Thomas' Hearing Implant Centre, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, UK E-mail: Dan.jiang@gstt.nhs.uk
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Abstract

Background:

Auditory implantation into the inner ear is increasingly performed for a variety of indications. Infective complications are rare, but when they occur they can have devastating consequences.

Case reports:

This paper reports two cases where vestibular sequestration of the bony labyrinth developed following implantation into the middle ear.

Conclusion:

To the authors' knowledge, these are the first reported cases where vestibular sequestration has resulted from auditory implant surgery. This paper outlines the radiological changes characteristic of this pathology. It also describes the surgical and conservative treatment options for this condition, challenging the previously accepted belief that affected patients always require aggressive surgical intervention.

Keywords

LabyrinthitisCochlear ImplantStapedectomyPostoperative Complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1238 - 1242
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented at the 54th annual conference of the Irish Otolaryngology/Head and Neck Society, 8–12 October 2013, Cong, Ireland, and at the 146th Semon Club meeting, 5 November 2013, London, UK.

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