Analysis of 36 patients underwent cochlear implantation surgery

Objectives: The aim of this study was to analyze the etiology,surgical methods and complications of the patientswho underwent cochlear implantation (CI) for bilateralsensorineural hearing loss.Materials and methods: Between October 2010 andFebruary 2012, 36 patients who underwent CI were retrospectivelyanalyzed in terms of age, sex, etiology of hearingloss, surgical approach and complications.Results: The age range of patients was 1-52 years [15female (% 41.7), 21 male (% 58.3]. Thirty-three of thepatients (average age 4.2±1.8) were in pediatric agegroup, remaining three patients (29, 45, 51 years old)were adult. All of pediatric patients were diagnosed ascongenital hearing loss (31 patients idiopathic, 1 Goldenharsyndrome, 1 ectodermal dysplasia). Adult patientswere operated due to hearing loss secondary to bilateraltemporal bone fracture, chronic otitis media surgery, andmeningitis. Thirty-four patients operated via a mastoidectomy-posterior tympanotomy and extended round windowapproach. One patient operated via a suprameatal approach.One patient was operated using two-stage procedure.Three patients had a perilymph gusher. No majoror minor complications occurred in patients. We operatedthe selected patients as a beginner cochlear implant center.Conclusion: Despite limited number of our study group,it can be concluded that cochlear implantaiton is an effectivetreatment for adults and children with profoundbilateral sensorineural deafness. It was found as a safelow morbidity technique with low complication rates in thepresented patients

Congenital laryngeal cyst presenting with severe respiratory distress in a newborn

In the newborn, congenital laryngeal cysts can cause lifethreateningrespiratory distress. Mortality can be preventedby early diagnosis. Therefore, a congenital laryngealcyst should be considered in the differential diagnosis ofan infant who develops respiratory distress and stridor.Flexible nasopharyngolaryngoscop is a valuable tool indiagnosis. The treatment of the cyst is total surgical excision.This article reviews the literature and presents acase of congenital laryngeal cyst that caused respiratorydistress at birth and was treated surgically.Key words: Larynx, cyst, congenital, newborn, strido

Development of bilateral mastoiditis due to chronic otitis media with congenital cholesteatoma

Congenital cholesteatoma develops from the squamousepithelium that is located at middle ear, petrous boneand mastoid bone during embryological development ofmiddle ear. Congenital cholesteatoma forms the 2-5% ofall cholesteatomas. In this article, a 5 years old boy withbilateral -probably congenital- diffuse cholesteatoma andmastoid fistulas is presented. Our case is special dueto his age and severe destructive pattern. Patient wastreated successfully by bilateral radical mastoidectomyoperation.Key words: Congenital, cholesteatoma, mastoiditi