Cargando…

Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Roukema, B. Y., Van Loon, M. C., Smits, C., Smit, C. F., Goverts, S. T., Merkus, P., Hensen, E. F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249978/
https://www.ncbi.nlm.nih.gov/pubmed/22229033
http://dx.doi.org/10.1155/2011/845879
_version_ 1782220423526612992
author Roukema, B. Y.
Van Loon, M. C.
Smits, C.
Smit, C. F.
Goverts, S. T.
Merkus, P.
Hensen, E. F.
author_facet Roukema, B. Y.
Van Loon, M. C.
Smits, C.
Smit, C. F.
Goverts, S. T.
Merkus, P.
Hensen, E. F.
author_sort Roukema, B. Y.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-3249978
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-32499782012-01-06 Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months Roukema, B. Y. Van Loon, M. C. Smits, C. Smit, C. F. Goverts, S. T. Merkus, P. Hensen, E. F. Int J Otolaryngol Research Article 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. Hindawi Publishing Corporation 2011 2011-12-20 /pmc/articles/PMC3249978/ /pubmed/22229033 http://dx.doi.org/10.1155/2011/845879 Text en Copyright © 2011 B. Y. Roukema et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Roukema, B. Y.
Van Loon, M. C.
Smits, C.
Smit, C. F.
Goverts, S. T.
Merkus, P.
Hensen, E. F.
Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months
title Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months
title_full Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months
title_fullStr Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months
title_full_unstemmed Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months
title_short Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months
title_sort cochlear implantation after bacterial meningitis in infants younger than 9 months
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249978/
https://www.ncbi.nlm.nih.gov/pubmed/22229033
http://dx.doi.org/10.1155/2011/845879
work_keys_str_mv AT roukemaby cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months
AT vanloonmc cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months
AT smitsc cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months
AT smitcf cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months
AT govertsst cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months
AT merkusp cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months
AT hensenef cochlearimplantationafterbacterialmeningitisininfantsyoungerthan9months