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Implications for Cochlear Implantation

Paul R. Lambert, MD; Roger A. Ruth, PhD; Annelle V. Hodges, MEd

Arch Otolaryngol Head Neck Surg. 1987;113(10):1101-1103.

Abstract
• Most postlingually deafened individuals receive auditory sensations with a cochlear implant. We describe a postmeningitic patient with bilateral facial paresis who failed to be stimulated with a multichannel device. In light of the facial dysfunction, primary auditory nerve damage by meningitis is postulated as the cause of implant failure. Preoperation electrical stimulation of the cochlea using an alternating current signal is recommended as a means of assessing cochlear implant candidacy.

(Arch Otolaryngol Head Neck Surg 1987;113:1101-1103)

Author Affiliations
From the Department of Otolaryngoloy—Head and Neck Surgery, University of Virginia Medical Center, Charlottesville.

Footnotes
Accepted for publication March 23, 1987.

Presented in part at the American Neurotology Society Meeting, San Antonio, Tex, Sept 13, 1986.

Reprint requests to Box 430, Department of Otolaryngology—Head and Neck Surgery, University of Virginia Medical Center, Charlottesville, VA 22908 (Dr Lambert).

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