Cochlear Implantation in Patients with Bilateral Sudden Sensorineural Hearing Loss after COVID-19 Infection.
Nenad ArsovićMarija JovanovićSnežana BabacLjiljana ČvorovićNemanja RadivojevićKonstantin ArsovićPublished in: Journal of personalized medicine (2023)
COVID-19 infection is associated with a variety of neurological manifestations. Since the inner ear is vulnerable to viruses, sensorineural hearing loss (SNHL) has been reported to occur following SARS-CoV-2 infection. We present here two cases of profound SNHL following SARS-CoV-2 infection. Pure-tone audiograms confirmed profound SNHL. The tympanogram and Auditory Brainstem Responses showed no abnormal symptoms. MRIs and CTs identified some changes but no significant anatomical nor physiological manifestations explaining the obvious cause for hearing loss. High doses of oral corticosteroids with additional conservative therapy were given with no therapeutic response, and therefore, cochlear implant surgery was performed. One case was bilaterally treated, and the other one received an implantation on one side. Both surgeries were carried out without intra- nor postoperative complications. Interestingly, in both cases, advanced fibrotic tissue was found during surgery. Both cases reported successful rehabilitation and are satisfied with their new sound perception following cochlear implantation.
Keyphrases
- minimally invasive
- hearing loss
- coronary artery bypass
- intellectual disability
- respiratory syndrome coronavirus
- surgical site infection
- working memory
- systemic sclerosis
- autism spectrum disorder
- physical activity
- coronary artery disease
- depressive symptoms
- atrial fibrillation
- brain injury
- newly diagnosed
- cell therapy