Recurrent bacterial meningitis after cochlear implantation in a patient with a newly described labyrinthine malformation

Torkos, Attila; Czigner, J.; Jarabin, János András; Tóth, Ferenc; Szamosközi, Alice; Kiss, J.; Jóri, József

doi:10.1016/j.ijporl.2008.10.004

Cited by 3 publications

(4 citation statements)

References 29 publications

(41 reference statements)

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“…1,3 It may occur as an early or delayed complication of surgery. [4][5][6][7] Mondini's dysplasia is the most common temporal bone anomaly associated with CSF leakage in children. 1 Rarely, recurrent meningitis may be caused by malformation of the inner ear, with a resultant perilymphatic fistula.…”

Section: Discussionmentioning

confidence: 99%

“…Rarely, recurrent meningitis may be caused by malformation of the inner ear, with a resultant perilymphatic fistula 4 – 7 . Mondini's dysplasia is the most common temporal bone anomaly associated with CSF leakage in children.…”

Section: Discussionmentioning

confidence: 99%

“…In children with inner ear malformations, various congenital defects may play a role in increasing the risk of meningitis, such as absence of the bony wall between the internal auditory canal and the base of the malformed cochlear cavity, 3 , 4 and a widely patent cochlear aqueduct. However, a pathological communication between the middle and inner ear 4 , 7 , 8 is the most likely ‘route of least resistance’ for such infection.…”

Section: Discussionmentioning

confidence: 99%

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Bacterial meningitis secondary to stapes footplate malformation in a child with an auditory brainstem implant

Mandalà

Colletti

2011

J. Laryngol. Otol.

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To our best knowledge, this is the first report of otogenic bacterial meningitis secondary to stapes footplate malformation in a paediatric patient with an auditory brainstem implant. Subjects with inner ear malformations, especially Mondini's dysplasia, need to be carefully evaluated pre-operatively to reduce or eliminate any anatomical conditions which may predispose to meningitis. In children with an auditory brainstem implant and suspected ear malformation, we recommend pre-operative radiological investigation to look for the 'bulging oval window' sign. When radiological signs are positive, bilateral exploratory tympanotomy should be performed to detect any undiagnosed anatomical stapes footplate defects, which may predispose to bacterial meningitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bacterial meningitis secondary to stapes footplate malformation in a child with an auditory brainstem implant

Mandalà

Colletti

2011

J. Laryngol. Otol.

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“…50 During CI surgery, preventing dural exposure during mastoidectomy, atraumatic electrode insertion, and sealing off cochleostomy after a CI with soft tissue must be taken to minimize the risk of meningitis. [51][52][53][54] Facial Nerve Risk The facial nerve innervates the facial muscles that stimulate facial movement as well as gives rise to a nerve branch that provides taste sensation of the tongue. Both functions can be potentially altered during CI surgery.…”

Section: Infectious Complicationsmentioning

confidence: 99%

Mythbusters! The Truth about Common Misconceptions in Cochlear Implantation

et al. 2021

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Cochlear implantation (CI) is the preferred method of hearing rehabilitation when patients cannot perform well with traditional amplification. Unfortunately, there are still significant misconceptions around this life-changing intervention. The goal of this article is to address some of the most common myths around CI surgery. After reading this article, the learner will be able to explain the utility of CI in patients with residual hearing and recognize that insurance coverage is widespread. The reader will be able to list common risks associated with this well-tolerated procedure including anesthetic risk and the risk of vestibular dysfunction. Additionally, the reader will be able to identify the significant positive impact of CI on patients' quality of life. Finally, the reader will identify that many patients can safely have an MRI scan after implantation, including nearly all contemporary recipients.

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Vaccination recommendations and risk of meningitis following cochlear implantation

Kahue

Sweeney

Carlson

et al. 2014

Current Opinion in Otolaryngology & Head and Neck Surgery

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Recurrent bacterial meningitis after cochlear implantation in a patient with a newly described labyrinthine malformation

Cited by 3 publications

References 29 publications

Bacterial meningitis secondary to stapes footplate malformation in a child with an auditory brainstem implant

Bacterial meningitis secondary to stapes footplate malformation in a child with an auditory brainstem implant

Mythbusters! The Truth about Common Misconceptions in Cochlear Implantation

Vaccination recommendations and risk of meningitis following cochlear implantation

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