Case Report

Emergency Unilateral Cochlear Implantation in Sudden Bilateral Severe-to-Profound Sensorineural Hearing Loss After Temporal Bone Fracture: A Case Report


University of Antwerp Faculty of Medicine and Health Science, Antwerp, Belgium


Department of Translational Neurosciences, University of Antwerp Faculty of Medicine and Health Science, Antwerp, Belgium


Department of ENT, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium


Department of Radiology, University Hospital Antwerp, Antwerp, Belgium

B-ENT 2023; 19: 252-255
DOI: 10.5152/B-ENT.2023.221157
Read: 566 Downloads: 318 Published: 14 April 2023

We report the case of a 34-year-old male with bilateral deafness, acute vestibular syndrome, right-sided facial paralysis, cerebrospinal fluid leakage, and hemorraghic otorrhea after blunt high-impact temporal bone trauma. Imaging demonstrated a right-sided mixed temporal bone fracture with involvement of the otic capsule without disruption of the vestibulocochlear nerves while audiometric testing confirmed bilateral profound sensorineural hearing loss. An urgent subtotal petrosectomy was performed to control bleeding from the jugular bulb, manage the cerebrospinal fluid leakage, decompress the facial nerve in the tympanic segment, and perform cochlear implantation due to the risk of cochlear fibrosis. The short-term outcome with regard to hearing, speech understanding, and balance is reported.

Cite this article as: Mortier J, Andries E, Hofkens-Van den Brandt A, et al. Emergency unilateral cochlear implantation in sudden bilateral severe-to-profound sensorineural hearing loss after temporal bone fracture: A case report. B-ENT. 2023;19(4):252-255.

EISSN 2684-4907