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Polyarteritis nodosa and cochlear implantation

Published online by Cambridge University Press:  07 December 2006

G Psillas ,
G Kyriafinis  and
J Daniilidis
G Psillas
Affiliation:
1st Academic ENT Department, Aristotle University of Thessaloniki, The American Hellenic Educational Progressive Association Hospital, Thessaloniki, Greece.
G Kyriafinis
Affiliation:
1st Academic ENT Department, Aristotle University of Thessaloniki, The American Hellenic Educational Progressive Association Hospital, Thessaloniki, Greece.
J Daniilidis
Affiliation:
1st Academic ENT Department, Aristotle University of Thessaloniki, The American Hellenic Educational Progressive Association Hospital, Thessaloniki, Greece.
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Abstract

Polyarteritis nodosa is a systemic disease which affects the small to medium-sized muscular arteries. Sudden or progressive, bilateral hearing loss is a presenting otologic manifestation. To date, no case of cochlear implantation in patients with polyarteritis nodosa has been reported.

The authors present a case of polyarteritis nodosa (confirmed by biopsy) in a 71-year-old man with progressive, bilateral sensorineural hearing loss who underwent cochlear implantation. A successful full insertion of the Nucleus 3G electrode array was achieved without surgical or post-operative complications. The patient immediately showed a positive subjective response and, at three month post-operative evaluation, had gained useful open-set speech perception.

A review of five temporal bone cases with hearing loss and polyarteritis nodosa revealed the possibility of fibrosis and ossification in the basal turn of the cochlea, of which the surgeon should be aware prior to cochlear implantation.

Keywords

Hearing Loss, SensorineuralPolyarteritis NodosaTemporal Bone
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 2 , February 2007 , pp. 196 - 199
Copyright
2006 JLO (1984) Limited

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