Acute pneumolabyrinth: a rare complication after cochlear implantation in a patient with obstructive sleep apnoea on CPAP therapy.
Angelo ImmordinoFrancesco LorussoFederico SireciFrancesco DispenzaPublished in: BMJ case reports (2023)
Pneumolabyrinth is a condition characterised by the presence of air within the inner ear and is a rare complication after cochlear implant surgery. One of the causes of pneumolabyrinth may be the increase in pressure in the middle ear. The use of continuous positive airway pressure (CPAP) is an effective treatment strategy for obstructive sleep apnoea. According to a recent study, the use of CPAP should be delayed by 1 or 2 weeks in subjects undergoing middle ear surgery; however, there is currently no indication to delay the CPAP in subjects undergoing cochlear implant surgery. We report the case of a patient on CPAP who underwent left cochlear implantation and, in the early postoperative period, reported severe vertigo and tinnitus. Cone-beam CT of the temporal bone revealed the presence of pneumolabyrynth. We believe that the use of CPAP should be delayed in subjects undergoing cochlear implantation to avoid the development of acute pneumolabyrinth.
Keyphrases
- positive airway pressure
- obstructive sleep apnea
- sleep apnea
- minimally invasive
- coronary artery bypass
- liver failure
- case report
- surgical site infection
- respiratory failure
- drug induced
- cone beam
- stem cells
- sleep quality
- patients undergoing
- magnetic resonance imaging
- depressive symptoms
- contrast enhanced
- magnetic resonance
- intensive care unit
- hepatitis b virus
- acute coronary syndrome
- coronary artery disease
- dual energy
- cell therapy
- smoking cessation
- mechanical ventilation
- gestational age
- bone regeneration