Cochlear implantation in a human immunodeficiency virus-infected patient.
OBJECTIVE
Patients infected with HIV have an increased risk of developing sensorineural hearing loss (SNHL), yet pathogenesis of SNHL in HIV infection is still poorly understood. In subjects affected by bilateral profound or total SNHL, cochlear implantation may be the only possibility to restore a hearing level that allows them to have an acceptable quality of life.


METHODS
Case report.


METHODS
A retrospective chart review of a HIV type 1-seropositive profoundly deafened patient who underwent cochlear implantation.


RESULTS
To date, with a follow-up of 4 years, the patient has not experienced any complication and has regained useful open-set speech perception.


CONCLUSIONS
Cochlear impairment with preserved auditory pathways can be responsible for profound SNHL in HIV-infected patients. Cochlear implantation can restore a social hearing in these patients, dramatically improving their quality of life. The surgical procedure can be safely performed when keeping in mind that the general condition of the patient is the decisive factor for or against surgery.
Vincenti
Vincenzo
V
Department of Otolaryngology, University of Parma, Parma, Italy. vincenzo.vincenti@unipr.it
Pasanisi
Enrico
E
Bacciu
Andrea
A
Giordano
Davide
D
Di Lella
Filippo
F
Guida
Maurizio
M
Bacciu
Salvatore
S
D000328:Adult; D019929:Cochlear Implantation; D015658:HIV Infections / Q000150:complications*; D006319:Hearing Loss, Sensorineural / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D012189:Retrospective Studies