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Pitfalls in the management of monaural deafness
1Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, Shanghai, China.
Objective:
We report a patient who underwent cochlear implantation in an ear with long-term deafness, after an acoustic neuroma had been removed surgically from the other, hitherto good ear and the cochlear nerve had subsequently been resected to relieve severe tinnitus.
Method:
Case report.
Results:
The patient could not tolerate the cochlear implant, because of a moderate headache due to the stimulation level necessary for environmental sound discrimination.
Conclusion:
Cochlear implantation in patients with long-term deafness should be considered carefully, even if deafness is monaural.

