[Stapedoplasty in a HIV-infected patient]

Area of Science:

• Otolaryngology
• Infectious Diseases
• Surgical Oncology

Background:

• Otosclerosis surgery in immunocompromised patients, particularly those with Human Immunodeficiency Virus (HIV), presents unique challenges.
• Acquired Immunodeficiency Syndrome (AIDS) and co-infection with Hepatitis C Virus (HCV) can impact surgical outcomes and patient recovery.
• Multispiral Computed Tomography (MSCT) is a valuable tool for pre-operative assessment of temporal bone structures.

Observation:

• This study details a case of successful surgical management of otosclerosis in a patient with HIV/AIDS and HCV co-infection.
• Pre-operative MSCT imaging provided crucial anatomical detail for surgical planning.
• The patient's immunological and virological status, in response to anti-retroviral therapy, was considered in predicting surgical success.

Findings:

• Surgical intervention for otosclerosis was successfully performed, leading to improved hearing outcomes.
• The patient tolerated the procedure well, with no significant intra-operative or post-operative complications related to their HIV/AIDS or HCV status.
• MSCT findings correlated with the surgical approach and contributed to a favorable outcome.

Implications:

• This case demonstrates the feasibility and safety of otosclerosis surgery in select HIV-infected patients.
• Pre-operative assessment including MSCT and monitoring of immune status is crucial for managing these complex cases.
• Further research is warranted to establish guidelines for otosclerosis surgical treatment in immunocompromised populations.