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Published on: February 29, 2020
[Bilateral total deafness due to mumps and the outcome of cochlear implantation]
Yi Wang1, Keli Cao, Wendong Yang
1Department of Otorhinolaryngology, Peking Union Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730.
Objective:
Bilateral deafness due to mumps is rare. Here report three cases of bilateral total deafness due to mumps and their outcome of cochlear implantation.
Method:
Three cases of bilateral total deafness due to mumps were reviewed.
Result:
All patients had sudden bilateral total deafness in 3 to 7 days after mumps. 2 had vestibular symptoms. Cochlear implantation has been successful in all 3 patients. Three month after the initial mapping, Case 2 who has been wearing bilateral hearing aids and received one-year language training has the best outcome of hearing and speech than the other two. Case 1 who has been wearing one-side hearing aid and received language training of 6 months has the better outcome than case 3 who has never worn hearing aid and never received language training.
Conclusion:
Hearing loss caused by Mumps is often sudden in onset, conservative therapy have no help. Hearing aid and language training are very important to the outcome of speech perception and speech production after cochlear implantation.
Insights
Bilateral deafness from mumps is rare but can lead to total hearing loss. Cochlear implantation is successful, with outcomes improved by hearing aids and language training.
Area of Science:
- Otolaryngology
- Virology
- Audiology
Context:
- Mumps-induced bilateral deafness is an uncommon but severe condition.
- Sudden onset of bilateral total deafness within a week of mumps infection is characteristic.
- Vestibular symptoms can accompany mumps-related hearing loss.
Purpose:
- To report three cases of bilateral total deafness following mumps.
- To evaluate the outcomes of cochlear implantation in these patients.
- To assess the impact of adjunct therapies on post-implantation speech and hearing.
Summary:
- Three patients developed sudden bilateral total deafness post-mumps, with two experiencing vestibular issues.
- All three patients underwent successful cochlear implantation.
- Outcomes varied, with the patient using bilateral hearing aids and receiving extensive language training showing the best results.
Impact:
- Cochlear implantation offers a successful treatment for mumps-induced bilateral total deafness.
- Early intervention with hearing aids and comprehensive language training significantly enhances speech perception and production post-implantation.
- Conservative therapies are ineffective for mumps-related sudden hearing loss.
