Cochlear implantation of a patient with multiple sclerosis: case report and systematic review.

Autor:	Routila J; Department of Audiology, Turku University Hospital, Turku, Finland.; Department of Otorhinolaryngology - Head and Neck Surgery, University of Turku, Turku, Finland., Karhu JO; Department of Radiology, Turku University Hospital, Turku, Finland., Salonen J; Department of Audiology, Turku University Hospital, Turku, Finland.; Department of Otorhinolaryngology - Head and Neck Surgery, University of Turku, Turku, Finland.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2022 Feb; Vol. 136 (2), pp. 176-180. Date of Electronic Publication: 2021 Oct 15.
DOI:	10.1017/S0022215121002917
Abstrakt:	Background: Cochlear implantation can be used when a patient's hearing cannot satisfactorily be improved after optimised hearing aid fitting. However, in patients with a cochlear nerve or brain disorder affecting hearing, the benefits of cochlear implants are not so straightforward. Methods: This paper describes a 58-year-old patient suffering from multiple sclerosis and profound sensorineural hearing loss, rehabilitated with a cochlear implant. Literature concerning cochlear implantation in demyelinating conditions was systematically reviewed using PubMed/Medline and Web of Science databases. Results: The patient's cochlear implantation was successful, with speech discrimination scores remaining above 90 per cent for eight years post-operatively. No previous cases of cochlear implantation with multiple sclerosis related hearing loss have been reported, despite the high incidence of hearing loss in multiple sclerosis patients. Conclusion: This paper demonstrates that multiple sclerosis lesions should not be an exclusion criterion in an otherwise suitable candidate for cochlear implantation.
Databáze:	MEDLINE
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