Bilateral Cochlear Implant Surgery in a Pediatric Case with a Craniectomy Defect and Ventriculoperitoneal Shunt: A Case Report
Indian Journal of Otolaryngology and Head and Neck Surgery, cilt.78, sa.8, ss.4532-4535, 2026 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 78 Sayı: 8
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s12070-026-06713-3
- Dergi Adı: Indian Journal of Otolaryngology and Head and Neck Surgery
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Ultimate (EBSCO), Health Research Premium Collection (ProQuest)
- Sayfa Sayıları: ss.4532-4535
- Anahtar Kelimeler: Cochlear implants, Craniectomy defect, Ventriculoperitoneal shunt
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
We present the case of a 3-year-old patient with a history of decompressive craniectomy and the presence of a ventriculoperitoneal shunt catheter, who developed bilateral profound sensorineural hearing loss following the use of ototoxic medications and subsequently underwent bilateral cochlear implantation. In this case, there were no anatomical limitations preventing the proper placement of the electrodes, microphone, and sound processor in their standard positions. However, due to the craniectomy defect, the receiver-stimulator component of the implant could not be placed in its typical location and was instead positioned posteroinferior to the craniectomy site and anterior to the shunt catheter. We recommend that in cochlear implant surgeries involving patients with craniectomy defects and ventriculoperitoneal shunt catheters, the anatomical location of the defect and catheter should be carefully identified intraoperatively to avoid iatrogenic trauma to the dura and shunt system.