Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-04T18:00:02.986Z Has data issue: false hasContentIssue false

Explanatation of a nucleus multichannel cochlear implant and re-implantation into the contralateral ear. A case report of a new strategy

Published online by Cambridge University Press:  29 June 2007

Stefan Maas
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, University of Manchester, Manchester, UK.
Manohar Bance
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, University of Manchester, Manchester, UK.
Martin O'Driscoll
Affiliation:
Manchester Cochlear Implant Programme, Centre for Audiology, University of Manchester, Manchester, UK.
Deborah Mawman
Affiliation:
Manchester Cochlear Implant Programme, Centre for Audiology, University of Manchester, Manchester, UK.
Richard T. Ramsden*
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, University of Manchester, Manchester, UK.
*
Address for correspondence: Professor R. T. Ramsden, Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.

Abstract

We present a unique case in which a multichannel cochlear implant device was explanted and the same device was re-implanted into the contralateral ear. A patient with bilateral total deafness secondary to head injury received an implant in his left ear but developed severe facial nerve stimulation. Because this stimulation could not be eliminated effectively with change of programming, it was decided to implant the contralateral ear. Since the device itself was functioning well, it was explanted from the left ear and re-implanted successfully into the right ear. Facial nerve stimulation was minimal in this ear and the patient demonstrated very good speech discrimination. To our knowledge, this is the first description of this strategy.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

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

Babighian, G. (1993) Problems in cochlear implant surgery. In Cochlear Implants: New Perspectives. (Fraysse, B., Geguine, O., eds.). Basel: Karger, 1993: pp 6569.Google Scholar
Shea, J. J., Domico, E. H. (1994) Facial nerve stimulation after successful multichannel cochlear implantation. American Journal of Otology 15: 752756.Google ScholarPubMed
Summerfield, A. Q., Marshall, D. H. Cochlear implantation in the UK 1990–1994. Report by the MRC Institute of Hearing Research on the evaluation of the National Cochlear Implant Programme.Google Scholar
Tsuboi, Y., Tetsuya, T., Yasuaki, U., Morimitsu, T. (1996) Facial nerve stimulation following cochlear implant. Abstract in Proceedings of the Politzer Society Meeting, Budapest.Google Scholar
Tye-Murray, N., Tyler, R. S. (1988) A critique of continuous discourse tracking as a test procedure. Journal of Speech and Hearing Disorders 53: 226231.CrossRefGoogle ScholarPubMed