Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months. (20th December 2011)

• Record Type: Journal Article
• Authors: Roukema, B. Y.; Van Loon, M. C.; Smits, C.; Smit, C. F.; Goverts, S. T.; Merkus, P.; Hensen, E. F.
• Other Names: Dhooge Ingeborg Academic Editor.
• Is Part Of: International journal of otolaryngology. Volume 2011(2011)
• Publication Date: 2011-12-20
• Subjects: Otolaryngology -- Periodicals; Otorhinolaryngologic Diseases; Otolaryngology; Electronic journals; Periodicals; Periodicals; 617.51
• DOI: 10.1155/2011/845879
• Languages: English
• ISSNs: 1687-9201

Abstract

Abstract : Objective . To describe the audiological, anesthesiological, and surgical key points of cochlear implantation after bacterial meningitis in very young infants. Material and Methods . Between 2005 and 2010, 4 patients received 7 cochlear implants before the age of 9 months (range 4–8 months) because of profound hearing loss after pneumococcal meningitis. Results . Full electrode insertions were achieved in all operated ears. The audiological and linguistic outcome varied considerably, with categories of auditory performance (CAP) scores between 3 and 6, and speech intelligibility rating (SIR) scores between 0 and 5. The audiological, anesthesiological, and surgical issues that apply in this patient group are discussed. Conclusion . Cochlear implantation in very young postmeningitic infants is challenging due to their young age, sequelae of meningitis, and the risk of cochlear obliteration. A swift diagnostic workup is essential, specific audiological, anesthesiological, and surgical considerations apply, and the outcome is variable even in successful implantations.