Case report: cochlear implantation in Mondini dysplasia with congenital footplate defect--implications for meningitis risks during implantation.
Following the reports of a cluster of meningitis cases in recently implanted patients the FDA issued cautionary advice relating to the risk of meningitis after cochlear implantation (US Food and Drug Administration, 2002). Similar advice and a national reporting call has been issued by the Department of Health in the UK (Medical Devices Agency, 2002) and universal prophylactic pneumococcal vaccination started. We present a case of bilateral Mondini-type dysplasia associated with a defective stapes footplate and highlight the need for surgical vigilance to reduce the risks of meningitis from undiagnosed anatomical defects.
Selvadurai
D K
DK
Department of Otolaryngology, Head and Neck Surgery, University Hospital, Queens Medical Centre, Nottingham NG7 2UH, UK.
Gibbin
K P
KP