Sinus Pericranii, a Challenge in Cochlear Implant Surgery

Authors

  • Margarida Boavida Serviço de Otorrinolaringologia do Hospital Professor Doutor Fernando Fonseca
  • Juan Carlos Cisneros Grupo de Otologia do Serviço de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Paula Tardim Lopes Grupo de Otologia do Serviço de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Robinson Koji Tsuji Grupo de Otologia do Serviço de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Ricardo Ferreira Bento Director do Serviço de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

DOI:

https://doi.org/10.34631/sporl.635

Keywords:

Sinus pericranni, Síndrome CHARGE, malformação venosa, implante coclear, abordagem suprameatal

Abstract

We pretend to expose a clinical case, of a 19 year old male patient, with CHARGE syndrome diagnosis. Venous malformations of the temporal bone are quite rare, but they are common in this syndrome. Because of a progressive sensorineural hearing loss in his right ear and a cophotic left ear (VIII agenesis), he became a cochlear implant candidate by the age of 16. He had an absolute contraindication to perform surgery in the left ear, so the implant was placed in the right ear, by a suprameatal approach (because of his venous malformation). No complications were registered. Functionally, the cochlear implant raised the mean pure -tone threshold to 42dB.

Author Biography

Robinson Koji Tsuji, Grupo de Otologia do Serviço de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Grupo de Otologia do Serviço de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brasil

References

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Bouali S, Maamri K, Abderrahmen K, Asma B, Boubaker A, Hafedh J. Clinical and imaging findings in a rare case of sinus pericranii. Childs Nerv Syst. 2015 Sep;31(9):1429-32.

Choi JH, Woo HY. The neglected emissary vein in mastoidectomy; persistent petrosquamosal sinus in the laterally located sigmoid sinus. Am J Otolaryngol. 2013 May-Jun;34(3):255-7.

Çam OH, Karataş M. A Life Threatening Pitfall in Ear Surgery: Extracranial Sigmoid Sinus. J Craniofac Surg. 2015 Oct;26(7):e619-20.

Kronenberg J, Baumgartner W, Migirov L, Dagan T, Hildesheimer M. The suprameatal approach: an alternative surgical approach to cochlear implantation. Otol Neurotol. 2004 Jan;25(1):41-4; discussion 44-5.

Published

2017-12-24

How to Cite

Boavida, M., Cisneros, J. C., Tardim Lopes, P., Koji Tsuji, R., & Ferreira Bento, R. (2017). Sinus Pericranii, a Challenge in Cochlear Implant Surgery. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 55(1), 51–54. https://doi.org/10.34631/sporl.635

Issue

Section

Case Report