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Sudden Sensorineural Hearing Loss after Orthopedic Surgery under Combined Spinal and Epidural Anesthesia.
Case Rep Otolaryngol 2016; 2016:4295601CR

Abstract

Postoperative hearing loss following nonotologic surgery is rare. For patients undergoing subarachnoid anesthesia, the loss of cerebral spinal fluid and hence the drop in intracranial pressure can result in hearing loss and cranial nerve palsy. We report a case in which a patient sustained orthopedic surgery under combined spinal and epidural anesthesia complicated by severe and persistent sensorineural hearing loss. This report is a reminder that postoperative sudden sensorineural hearing loss is a poorly understood complication. A high index of suspicion is required for early diagnosis of this complication, although prompt treatment does not guarantee a good outcome.

Authors+Show Affiliations

Department of Otolaryngology & Head-Neck Surgery, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal.Department of Anesthesiology, Hospital São João, Porto, Portugal.Department of Otolaryngology & Head-Neck Surgery, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal.Department of Otolaryngology & Head-Neck Surgery, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26904339

Citation

Vilhena, Ditza, et al. "Sudden Sensorineural Hearing Loss After Orthopedic Surgery Under Combined Spinal and Epidural Anesthesia." Case Reports in Otolaryngology, vol. 2016, 2016, p. 4295601.
Vilhena D, Pereira L, Duarte D, et al. Sudden Sensorineural Hearing Loss after Orthopedic Surgery under Combined Spinal and Epidural Anesthesia. Case Rep Otolaryngol. 2016;2016:4295601.
Vilhena, D., Pereira, L., Duarte, D., & Oliveira, N. (2016). Sudden Sensorineural Hearing Loss after Orthopedic Surgery under Combined Spinal and Epidural Anesthesia. Case Reports in Otolaryngology, 2016, p. 4295601. doi:10.1155/2016/4295601.
Vilhena D, et al. Sudden Sensorineural Hearing Loss After Orthopedic Surgery Under Combined Spinal and Epidural Anesthesia. Case Rep Otolaryngol. 2016;2016:4295601. PubMed PMID: 26904339.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sudden Sensorineural Hearing Loss after Orthopedic Surgery under Combined Spinal and Epidural Anesthesia. AU - Vilhena,Ditza, AU - Pereira,Luís, AU - Duarte,Delfim, AU - Oliveira,Nuno, Y1 - 2016/01/21/ PY - 2015/11/06/received PY - 2016/01/03/revised PY - 2016/01/10/accepted PY - 2016/2/24/entrez PY - 2016/2/24/pubmed PY - 2016/2/24/medline SP - 4295601 EP - 4295601 JF - Case reports in otolaryngology JO - Case Rep Otolaryngol VL - 2016 N2 - Postoperative hearing loss following nonotologic surgery is rare. For patients undergoing subarachnoid anesthesia, the loss of cerebral spinal fluid and hence the drop in intracranial pressure can result in hearing loss and cranial nerve palsy. We report a case in which a patient sustained orthopedic surgery under combined spinal and epidural anesthesia complicated by severe and persistent sensorineural hearing loss. This report is a reminder that postoperative sudden sensorineural hearing loss is a poorly understood complication. A high index of suspicion is required for early diagnosis of this complication, although prompt treatment does not guarantee a good outcome. SN - 2090-6765 UR - https://www.unboundmedicine.com/medline/citation/26904339/Sudden_Sensorineural_Hearing_Loss_after_Orthopedic_Surgery_under_Combined_Spinal_and_Epidural_Anesthesia_ L2 - https://dx.doi.org/10.1155/2016/4295601 DB - PRIME DP - Unbound Medicine ER -