title: Pitfalls in the management of monaural deafness.
abstract: OBJECTIVE
  We report a patient who underwent cochlear implantation in an ear with long-term deafness, after an acoustic neuroma had been removed surgically from the other, hitherto good ear and the cochlear nerve had subsequently been resected to relieve severe tinnitus.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  The patient could not tolerate the cochlear implant, because of a moderate headache due to the stimulation level necessary for environmental sound discrimination.
  
  
  CONCLUSIONS
  Cochlear implantation in patients with long-term deafness should be considered carefully, even if deafness is monaural.
authors.affiliation: Department of Otolaryngology, Affiliated Sixth People's Hospital, Institute of Otolaryngology, Shanghai JiaoTong University, Shanghai, China.
authors.forename: Y-M
authors.initials: YM
authors.lastname: Feng
authors.forename: Y-Q
authors.initials: YQ
authors.lastname: Wu
authors.forename: H-Q
authors.initials: HQ
authors.lastname: Zhou
authors.forename: H-B
authors.initials: HB
authors.lastname: Shi
mesh_terms: D002675:Child, Preschool; D002681:China; D019929:Cochlear Implantation / Q000009:adverse effects*; D003054:Cochlear Implants / Q000009:adverse effects*; D003056:Cochlear Nerve / Q000601:surgery; D016057:Evoked Potentials, Auditory, Brain Stem; D005260:Female; D006261:Headache / Q000209:etiology*; D046088:Hearing Loss, Unilateral / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000601:surgery*; D014012:Tinnitus / Q000150:complications / Q000601:surgery; D017211:Treatment Failure