Abstract
Objectives
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.
Methods
This case report details a 48-year-old male who experienced delayed facial paralysis after cochlear implantation, an uncommon occurrence with limited documentation.
Results
The facial nerve palsy of the patient resolved by the third week with combined therapy.
Discussion
The etiology of this complication is not fully understood, with latent virus reactivation, particularly HSV and VZV, hypothesized as a probable cause.
Conclusion
Successful management involves a combination of corticosteroids, antiviral therapy, and antibiotics, leading to a favorable outcome.
Additional information
Notes on contributors
Filiz Gülüstan
Filiz Gülüstan is an assistant professor of otorhinolaryngology from Istanbul, Turkey who is specifically interested in ear disorders and cochlear implantation.
Zahide Mine Yazıcı
Professor Zahide Mine Yazıcı is an otorhinolaryngologist, her interests include ear and rhinological disorders. Her recent articles focus on cochlear implantation in patients with rare disorders and rare complications in inplanted patients.
Recep Haydar Koç
Recep Haydar Koç is an otorhinolaryngologist, has published articles: Incidence and Management of Delayed Epistaxis Following Endoscopic Skull Base Surgery (2021) and Betahistine add-on therapy for treatment of subjects with posterior benign paroxysmal positional vertigo: a randomized controlled trial (2020).
Burak Kaan İnan
Burak Kaan Inan, an otorhinolaryngology resident, has lately taken a role in publishing Navigating Early and Late Hematomas in Cochlear Implantation: A Tri-Case Analysis (2024) and Optimizing Early Detection: Validating Obstructive Sleep Apnea-18 (OSA-18) in Turkish-Speaking Pediatric Patients (2023).
Can Berk Aşaroğlu
Can Berk Aşaroğlu is an otorhinolaryngology resident from Istanbul, Turkey. He recently contributed to article Cochlear Implantation in Primrose Syndrome with a Novel ZBTB20 Gene Variant (2023).
İbrahim Sayın
İbrahim Sayın, professor of otorhinolaryngology, is an experienced researcher. He is currently conducting studies on efficacy of biological agents used in rhinological disorder.