내이 기형 환아에서 와우이식 후 반복적으로 발생한 뇌막염 1예
Recurrent Meningitis in a Patient with Inner Ear Anomaly after Cochlear Implantation
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Cochlear implantation (CI) has been regarded as a safe and effective treatment for patients with severe to profound sensorineural hearing loss. The increase of experience in CI thus has had the effect of leading more children with inner ear anomaly to be considered as cochlear implant candidates. For patients with inner ear anomaly, auditory rehabilitation has been reported to be improved after CI; however, there are several factors such as cerebrospinal fluid leakage, facial nerve injury and abnormal positioning of electrode during surgery and uncertainty of auditory rehabilitation and possibility of the recurrent meningitis after CI that should be considered. Several studies proved that the incidence of otogenic meningitis is higher in patients with inner ear anomaly than in patients with normal inner ear anatomy. We experienced a case of recurrent meningitis due to an unusual cause after cochlear implantation in a patient with inner ear anomaly.
Abstract
Cochlear implantation (CI) has been regarded as a safe and effective treatment for patients with severe to profound sensorineural hearing loss. The increase of experience in CI thus has had the effect of leading more children with inner ear anomaly to be considered as cochlear implant candidates. For patients with inner ear anomaly, auditory rehabilitation has been reported to be improved after CI; however, there are several factors such as cerebrospinal fluid leakage, facial nerve injury and abnormal positioning of electrode during surgery and uncertainty of auditory rehabilitation and possibility of the recurrent meningitis after CI that should be considered. Several studies proved that the incidence of otogenic meningitis is higher in patients with inner ear anomaly than in patients with normal inner ear anatomy. We experienced a case of recurrent meningitis due to an unusual cause after cochlear implantation in a patient with inner ear anomaly.
참고문헌 (14)
- Jensen S, "Malformation of the inner ear in deaf children", Acta Radiol, 286, pp.1~97 (1969)
- Luntz M, "Cochlear implants in children with congenital inner ear malformations", Arch Otolaryngol Head Neck Surg, 123(9), pp.974~977 (1997)
- 김종선, "와우이식술 시 발생한 뇌척수액 분출", 대한이비인후과학회지 두경부외과학, 47(12), pp.1211~1216 (2004), 대한이비인후과학회
- 안중호, "내이 기형을 동반한 환자에서의 인공와우이식술 후의 합병증", 대한이비인후과학회지 두경부외과학, 50(4), pp.291~295 (2007), 대한이비인후과학회
- Reefhuis J, "Risk of bacterial meningitis in children with cochlear implants", N Engl J Med, 349(5), pp.435~445 (2003)
- Parner ET, "Hearing loss diagnosis followed by meningitis in Danish children,1995-2004", Otolaryngol Head Neck Surg, 136(3), pp.428~433 (2007)
- Kimitsuki T, "Congenital malformation of the inner ear associated with recurrent meningitis", Eur Arch Otorhinolaryngol, 256(Suppl 1), pp.S11~S14 (1999)
- Arnold W, "Meningitis following cochlear implantation:pathomechanisms,clinical symptoms,conservative and surgical treatments", ORL J Otorhinolaryngol Relat Spec, 64(6), pp.382~389 (2002)
- Incesulu A, "Cochlear implantation in cases with incomplete partition type III(X-linked anomaly)", Eur Arch Otorhinolaryngol, 265(11), pp.1425~1430 (2008)
- Talbot JM, "Computed tomographic diagnosis of X-linked congenital mixed deafness,fixation of the stapedial footplate,and perilymphatic gusher", Am J Otol, 15(2), pp.177~182 (1994)
- Cohen NL, "Cochlear implant candidacy and surgical considerations", Audiol Neurootol, 9(4), pp.197~202 (2004)
- Cohen NL, "Surgical technique for the Nucleus Contour cochlear implant", Ear Hear, 23(1 Suppl), pp.59S~66S (2002)
- Stover T, "Evaluation of the advance off-stylet insertion technique and the cochlear insertion tool in temporal bones", Otol Neurotol, 26(6), pp.1161~1170 (2005)
- Parkinson AJ, "The nucleus 24 contour cochlear implant system: adult clinical trial results", Ear Hear, 23(1 Suppl), pp.41S~48S (2002)
