e to profound sensorineural hearing loss, with normal middle ear functioning. Hearing aid trials were without significant benefit. After a discussion of the risks, benefits and alternatives, the patient was consented to for insertion of an Advanced Bionics cochlear implant device.

Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
Chapter18: Eye Medications
Section: Chapter Questions
Problem 6CRQ
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PREOPERATIVE DIAGNOSIS: Bilateral severe to profound sensorineural hearing loss Sequaelae of pneumococcal meningitis POSTOPERATIVE DIAGNOSIS: Bilateral severe to profound sensorineural hearing loss Sequaelae of pneumococcal meningitis NAME OF PROCEDURE: Bilateral cochlear implantation with Advanced Bionics HiRes 90K multi-channel device INTRAOPERATIVE FINDINGS: Normal mastoid anatomy bilaterally with facial nerve present along anticipated course and round windows were calcified bilaterally. INDICATIONS: The patient is a 9-month-old male who was previously hospitalized with pneumococcal meningitis three months ago. Subsequent auditory brainstem response testing on multiple occasions revealed bilateral severe to profound sensorineural hearing loss, with normal middle ear functioning. Hearing aid trials were without significant benefit. After a discussion of the risks, benefits and alternatives, the patient was consented to for insertion of an Advanced Bionics cochlear implant device.
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