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<p>Bilateral temporal bone fractures are rare; accounting for 9% to 20% of cases of temporal bone fractures. Clinical manifestations include hearing loss, facial paralysis, CSF otorhinorrhea and dizziness. This is a case report of a patient who presented with bilateral temporal bone fractures. This is a report of a 23-yr-old male who sustained bilateral temporal bone fractures and presented 18 days later with complaints of watery discharge from left ear and nose, bilateral profound hearing loss and facial weakness on the right side. Pure tone audiometry revealed bilateral profound sensori-neural hearing loss. CT temporal bones &amp; MRI scans of brain were done to assess the extent of injuries. The patient underwent left CSF otorrhea repair, as the CSF leak was active and not responding to conservative management. One week later, the patient underwent right facial nerve decompression. The patient could not afford a cochlear implant (CI) in the right ear at the same sitting, however, implantation was advised as soon as possible because of the risk of cochlear ossification. The transcochlear approach was used to seal the CSF leak from the oval and round windows on the left side. The facial nerve was decompressed on the right side. The House-Brackmann grade improved from Grade V to grade III at last follow-up. Patients with bilateral temporal bone fractures require prompt assessment and management to decrease the risk of complications such as meningitis, permanent facial paralysis or hearing loss. </p>

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<p class="abstract"><strong>Background:</strong> Sensori-neural hearing loss (SNHL) can be bilateral in 30 to 50% of individuals with Meniere’s disease (MD). The incidence of severe to profound SNHL in MD ranges from 1 to 6%. These individuals are candidates for cochlear implantation (CI).</p><p class="abstract"><strong>Methods:</strong> A retrospective study of 12 patients with profound hearing loss due to Meniere’s disease was done between January 1998 till June 2018 in a tertiary ENT centre in Chennai, India. The patients experienced symptoms of Meniere’s disease for an average of 10 years before CI. All were postlingual candidates. The aim of this study was to determine the effectiveness of cochlear implantation in improving hearing and to assess the impact of CI on vertigo and tinnitus in patients with Meniere’s disease.  </p><p class="abstract"><strong>Results:</strong> Significant hearing improvement with CI was noted in all patients. Resolution of vertigo and reduction of tinnitus was noted. There was no vestibular dysfunction due to CI. In one patient with disabling vertigo, labyrinthectomy combined with CI helped in complete resolution of vertiginous symptoms.</p><p class="abstract"><strong>Conclusions:</strong> Cochlear implantation is an established option for hearing habilitation in patients with Meniere’s disease, with good outcomes. In case there is disabling vertigo, combining labyrinthectomy with CI is recommended.</p>