A child with severe inner ear malformations with favorable hearing utilization and balance functions after wearing hearing aids

(整期优先)网络出版时间:2017-01-11
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Infantswithcongenitaldeafnesscausedbyseverebilateralinnerearmalformationsfrequentlysufferfromseverehearinglossandpoorbalance.Unfortunately,theuseofhearingaidsisusuallyineffectiveinrecoveringhearing,necessitatingcochlearimplants.Wereportacaseofa6-year-oldboywithcongenitaldeafnessandbilateralinnerearmalformations(rightside,incompletepartitiontypeI[IP-I];leftside,commoncavitydeformity).Hearingaidshadaremarkableeffectinthispatient,enablingsufficientandfavorablehearingrecoverysuchastoallowthepatienttoengageindailyconversations.Per-rotatorynystagmuswasrecordedonanelectronystagmogramforbothrightandleftrotationsinadampedrotationalchairtest.Itisrarefordeafchildrenwithseverebilateralinnerearmalformationtodemonstratefavorabledevelopmentinhearingandgoodequilibriumfunction.OurfindingssuggestthatauditoryevestibularhaircellsinthispatientmayhavebeenpartiallypreserveddespiteIP-Iintherightearandcommoncavitydeformityoftheleftear.