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Sudden unilateral deafness after bilateral knee replacement.

J S Phillips1, P R Prinsley

  • 1Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK. drjohnphillips@hotmail.com

The Journal of Laryngology and Otology
|June 21, 2003
PubMed
Summary

A 76-year-old man experienced permanent hearing loss after knee replacement surgery. This rare case suggests a fat embolism in the auditory system caused the sudden deafness.

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Area of Science:

  • Otolaryngology
  • Orthopedic Surgery
  • Vascular Medicine

Background:

  • Sudden post-operative deafness is a rare complication.
  • Joint replacement surgery carries various potential risks.
  • Auditory system complications after orthopedic procedures are not well-documented.

Observation:

  • A 76-year-old male patient developed profound, unremitting hearing loss.
  • The hearing loss occurred subsequent to bilateral knee replacement surgery.
  • No prior reports exist of permanent deafness following joint replacement.

Findings:

  • The patient's deafness is attributed to a fat embolism.
  • The embolism is believed to have affected the auditory circulation.
  • This represents a unique presentation of post-operative complication.

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Implications:

  • Highlights a potential, albeit rare, neurological complication of joint replacement.
  • Suggests the need for vigilance regarding auditory function in post-operative patients.
  • Underscores the importance of considering vascular events in sudden hearing loss etiology.