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Cochlear implantation in a patient with paget's disease
Author(s) -
Wolfovitz Amit,
Shihada Rabia,
Shpak Talma,
Braun Jacob,
Luntz Michal
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21281
Subject(s) - medicine , cochlear implantation , hearing loss , rehabilitation , audiology , disease , metabolic bone disease , surgery , physical therapy , pathology , osteoporosis
Hearing loss in Paget's disease, a metabolic bone disease, has been reported in as many as 60% of cases, and is presumably related to changes in mineral density of the otic capsule. We describe a 59‐year‐old man with Paget's disease who had severe to profound hearing loss and was referred to us for cochlear implantation. Preoperative evaluation revealed poor communication skills despite significant residual hearing, raising concerns about postimplantation outcome. Nevertheless, implantation was successful. As our literature search yielded only one report of cochlear implantation in Paget's disease, we record our clinical experience and discuss the hearing rehabilitation dilemmas in this case.