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[Bilateral sensorineural hearing loss after general anesthesia]

A Belan¹, A Rida, N Hamoud

¹Service d'Anesthésie et de Réanimation, CHG A. Guérin, Ploermel.

Annales Francaises D'Anesthesie Et De Reanimation

|January 1, 1994

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A young girl experienced sudden bilateral sensorineural deafness after appendectomy. Prompt treatment with hyperbaric oxygen and vasodilators led to a full recovery, though the exact cause remains unknown.

Area of Science:

Otolaryngology
Anesthesiology
Pediatric Surgery

Background:

Sudden sensorineural hearing loss is a rare complication in pediatric surgery.
Laparoscopic appendectomy is a common procedure in children.

Observation:

A 12-year-old girl developed bilateral sensorineural deafness post-laparoscopic appendectomy.
General anesthesia without nitrous oxide and normal hemodynamics were noted.
No prior history of hearing issues or ototoxic drug use was reported.

Findings:

Initial hearing loss measured at 50 dB, confirmed by auditory evoked potentials.
Treatment involved hyperbaric oxygenotherapy and vasodilators.
Complete hearing recovery was achieved.

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Implications:

The etiology of this hearing loss remains unidentified.
Carbon dioxide (CO2) insufflation during laparoscopy is a potential, unproven factor.
Further research is needed to explore potential links between CO2 insufflation and sensorineural hearing loss.