Original Solution for Middle Ear Implant and Anesthetic/Surgical Management in a Child with Severe Craniofacial Dysmorphism

Author:

Bianchin Giovanni1,Tribi Lorenzo1,Reverzani Aronne2,Formigoni Patrizia1,Polizzi Valeria1

Affiliation:

1. MD Otolaryngology and Audiology Department, Santa Maria Nuova Hospital, Viale Risorgimento, No. 80, 42100 Reggio Emilia, Italy

2. MD Emergency Medicine Department, Santa Maria Nuova Hospital, Viale Risorgimento, No. 80, 42100 Reggio Emilia, Italy

Abstract

We describe the novel solution adopted in positioning middle ear implant in a child with bilateral congenital aural atresia and craniofacial dysmorphism that have posed a significant challenge for the safe and correct management of deafness. A five-year-old child, affected by a rare congenital disease (Van Maldergem Syndrome), suffered from conductive hearing loss. Conventional skin-drive bone-conduction device, attached with a steel spring headband, has been applied but auditory restoration was not optimal. The decision made was to position Vibrant Soundbridge, a middle ear implant, with an original surgical application due to hypoplasia of the tympanic cavity. Intubation procedure was complicated due to child craniofacial deformities. Postoperative hearing rehabilitation involved a multidisciplinary team, showing improved social skills and language development.

Publisher

Hindawi Limited

Subject

Psychiatry and Mental health,Health Policy,Neuropsychology and Physiological Psychology

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