Article: Subtotal Petrosectomy and Cochlear Implant Placement in Otologic Presentation of “Wegener‘s Granulomatosis”
ABSTRACT
Granulomatosis with polyangitis is a rare granuloma forming necrotizing
vasculitis, which involves mainly the respiratory tract and renal system.
Otologic involvement may occur primarily as chronic serous otitis media and
chronic silent mastoiditis with conductive hearing loss and may rarely lead to
sensorineural hearing loss requiring cochlear implantation.
This case describes a patient with granulomatous poylangitis with profound
sensorineural hearing loss who underwent subtotal petrosectomy with
cochlear implantation.
KEY WORDS
Cochlear implant, granulomatosis with polyangitis, subtotal petrosectomy,
necrotizing vasculitis
1Department of Otorhinolaryngology, Head and Neck Surgery
Luzerner Kantonsspital, Luzern, Switzerland.
2Department of Otorhinolaryngology, Head and Neck Surgery
Dhulikhel Hospital, Kathmandu University Hospital
Kavre, Nepal
Keywords
Cochlear implant, granulomatosis with polyangitis, subtotal petrosectomy, necrotizing vasculitis
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