Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T08:56:12.909Z Has data issue: false hasContentIssue false

Cochlear implantation in patients suffering from Cogan's syndrome

Published online by Cambridge University Press:  29 June 2007

Udi Cinamon*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, The Chaim Sheba Medical Centre, Tel-Aviv University, Sackler School of Medicine, Tel-Hashomer, Israel.
Jona Kronenberg
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, The Chaim Sheba Medical Centre, Tel-Aviv University, Sackler School of Medicine, Tel-Hashomer, Israel.
Minka Hildesheimer
Affiliation:
Department of Otolaryngology, Communication Disorders, The Chaim Sheba Medical Centre, Tel-Aviv University, Sackler School of Medicine, Tel-Hashomer, Israel.
Riki Taitelbaum
Affiliation:
Department of Otolaryngology, Communication Disorders, The Chaim Sheba Medical Centre, Tel-Aviv University, Sackler School of Medicine, Tel-Hashomer, Israel.
*
Address for correspondence: Dr Udi Cinamon, M.D., Department of Otolaryngology, Head and Neck Surgery, The Chaim Sheba Medical Centre, Tel-Hashomer 52621, Israel. Fax: 972-3-5346515

Abstract

Among patients who receive cochlear implants, those with Cogan's syndrome make a unique group. On one hand they are part of the post-lingual patients and good results can be anticipated. On the other hand, their basic illness is thought to have an autoimmune aetiology and for that reason more susceptible to complications, especially flap problems. In a series of 60 patients who were implantedat the Sheba Medical Center, three had Cogan's syndrome. No post-operative complications, including flap problems, were observed (followed-up for at least 18 months). Subjective and objective hearing results were very good.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allen, N. B., Cox, C. C., Cobo, M., Kisslo, J., Jacobs, M. R., McCallum, R. M., Haynes, B. F. (1990) Use of immunosuppressive agents in the treatment of severe ocular and vascular manifestations of Cogan's syndrome. American Journal of Medicine 88: 296301.CrossRefGoogle ScholarPubMed
Bielory, L., Conti, J., Frohman, L. (1990) Cogan's syndrome. Journal of Allergy and Clinical Immunology 85(4): 808815.CrossRefGoogle ScholarPubMed
Cohen, N. L., Hoffman, R. A. (1991) Complications of cochlear implant surgery in adults and in children. Annals of Otology, Rhinology and Laryngology 100: 708710.CrossRefGoogle Scholar
Cohen, N. L., Hoffman, R. A., Stroschen, M. (1988) Medical or surgical complications related to theNucleus multichannel cochlear implant. Annals of Otology, Rhinology and Laryngology 97(Suppl 135): 813.CrossRefGoogle Scholar
Hammer, M., Witte, T., Mugge, A., Wollenhaupt, J., Lass, J., Laszig, R., Zeidler, H. (1994) Complicated Cogan's syndrome with aortic insufficiency and coronary stenosis. Journal of Rheumatology 21(3): 552554.Google ScholarPubMed
Harris, J. P., Cueva, R. A. (1987) Flap design for cochlear implantation: Avoidance of a potential complication. Laryngoscope 97: 755757.CrossRefGoogle ScholarPubMed
Haynes, B. F., Kaiser-Kupfer, M. I., Mason, P., Fauci, A. S. (1980) Cogan's syndrome: Studies in 13 patients, long-term follow-up and a review of the literature. Medicine 59: 426441.CrossRefGoogle Scholar
Schuknecht, H. F. (1991) Ear pathology in autoimmune disease. In Advances in Oto-Rhino-Laryngology. Vol 46, (Pfaltz, C. R., Arnold, W., Klinsasser, O., eds.), Karger, Basel, pp 5070.Google Scholar
Wang, R. C., Chute, P. M., Parisier, S. C., Hellman, S. R., Weiss, M. H., Sauris, E. (1990) Cochlear implant flap complications. Annals ofOtology, Rhinology and Laryngology 99: 791795.CrossRefGoogle ScholarPubMed
Webb, R. L., Laszig, R., Lehnhardt, E., Pyman, B. C., Clark, G. M., Franz, B. K. G. H. (1991) Surgical complications with the cochlear multichannel intracochlear implant: experience at Hannover and Melbourne. Annals of Otology, Rhinology and Laryngology 100: 131136.CrossRefGoogle Scholar