Facial Nerve Stimulation can Improve after Cochlear Reimplantation and Postoperative Advanced Programming Techniques: Case Report

Fahd Ali Alharbi, Martin Spreng, Peter Rolf Issing
2012 International journal of clinical medicine  
We had a case of 75-year old man with a history of progressive hearing loss on both sides who implanted with a Nucleus 24 Contour Advance in the right ear. After 4 years from implantation, the patient started to complaint of right facial twitching when his cochlear implant was active. Despite undergoing numerous alterations in his implant programming, facial nerve stimulation (FNS) persisted. After increasing the pulse width and changing the stimulation mode, there was no facial nerve
more » ... ial nerve stimulation. However there was a deterioration in hearing and speech understanding. CT of the temporal bone showed good position of the implant electrodes und cochleomeatal scintigraphy (CMS) showed a highly positive activity with suspicion of otosclerosis, although the medical history was negative for otosclerosis. The FNS was managed with cochlea reimplantation and advanced programming techniques. FNS in cochlear implant patients may be managed through reimplantation and advanced programming techniques. IJCM 64 niques. Close interdisciplinary collaboration between otolaryngology, audiology and neuroradiology is desirable for effective therapy.
doi:10.4236/ijcm.2012.31014 fatcat:g5i3s7zw4fcu3hzxdhicb4njuq