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Implantation of the common cavity malformation may prevent meningitis

Benjamin R Roman1, Daniel H Coelho, J Thomas Roland

  • 1Department of Otolaryngology, New York University School of Medicine, New York, NY, USA.

Cochlear Implants International
|February 16, 2012
PubMed

Insights

Children with inner ear malformations face meningitis risks but can benefit from cochlear implants. Simultaneous surgery for cerebrospinal fluid (CSF) leak repair and cochlear implantation can prevent meningitis and restore hearing.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Pediatric Surgery

Background:

  • Congenital inner ear malformations, such as common cavity defects, increase the risk of spontaneous cerebrospinal fluid (CSF) leaks and meningitis in children.
  • These children may also be candidates for cochlear implantation to address hearing loss.

Observation:

  • A 2-year-old girl with bilateral common cavity defects experienced a contralateral CSF leak and meningitis after initial cochlear implantation.
  • The patient underwent simultaneous cochlear implantation and definitive CSF leak repair after infection resolution.

Findings:

  • The combined surgical approach successfully prevented recurrent meningitis in this case.
  • The patient achieved hearing benefit from bilateral cochlear implants.

Implications:

  • Simultaneous cochlear implantation and CSF leak repair may be a viable surgical option for children with cochlear malformations.
  • Early bilateral cochlear implantation before CSF leaks occur could be beneficial for these patients.
Abstract

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