Delayed-onset facial paralysis following cochlear implantation: a case study and comprehensive analysis

Cochlear implantation (CI) is a surgical intervention used to rehabilitate hearing in individuals, both pediatric and adult, with severe hearing loss. It is generally a safe procedure with rare postoperative complications. Facial nerve paralysis following cochlear implant surgery poses challenges in...

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Bibliographic Details
Published in:Cochlear implants international 2024-07, Vol.25 (4), p.334-337
Main Authors: Gülüstan, Filiz, Yazıcı, Zahide Mine, Koç, Recep Haydar, İnan, Burak Kaan, Aşaroğlu, Can Berk, Sayın, İbrahim
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antiviral Agents - therapeutic use
Cochlear Implantation - adverse effects
Cochlear Implants - adverse effects
Facial Paralysis - etiology
Humans
Male
Middle Aged
Postoperative Complications - etiology
Time Factors
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Summary:Cochlear implantation (CI) is a surgical intervention used to rehabilitate hearing in individuals, both pediatric and adult, with severe hearing loss. It is generally a safe procedure with rare postoperative complications. Facial nerve paralysis following cochlear implant surgery poses challenges in diagnosis and treatment. This case report details a 48-year-old male who experienced delayed facial paralysis after cochlear implantation, an uncommon occurrence with limited documentation. The facial nerve palsy of the patient resolved by the third week with combined therapy. The etiology of this complication is not fully understood, with latent virus reactivation, particularly HSV and VZV, hypothesized as a probable cause. Successful management involves a combination of corticosteroids, antiviral therapy, and antibiotics, leading to a favorable outcome.
ISSN:1467-0100
1754-7628
1754-7628
DOI:10.1080/14670100.2024.2370685