Sudden sensorineural hearing loss after varicose vein surgery under general anesthesia. Case report.
Sudden sensorineural hearing loss following non-otologic surgery, under general anesthesia, is an extremely rare complication. Furthermore, postoperative deafness has more commonly been associated with cardiac surgery. This acute dysfunction of the inner ear consists a controversial subject in terms of etiopathogenic mechanisms and treatment modalities. We present the case of a 60-year-old male patient who underwent varicose vein surgery under general anesthesia and presented immediately after the operation bilateral and profound impairment of his hearing acuity. A high index of suspicion is required to early diagnosis of this complication, although prompt treatment does not guarantee a good outcome.
Department of Vascular Surgery, Iaso General Hospital of Athens, Greece.
G
G
Galanopoulos
D
D
Rapti
I
I
Nikolopoulos
C
C
Lambidis
D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation / Q000009:adverse effects; D002245:Carbon Dioxide / Q000627:therapeutic use; D057210:Delayed Diagnosis; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003925:Diabetic Angiopathies / Q000150:complications; D004232:Diuretics / Q000009:adverse effects / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006312:Hearing Loss, Bilateral / Q000188:drug therapy / Q000209:etiology*; D006319:Hearing Loss, Sensorineural / Q000188:drug therapy / Q000209:etiology*; D003639:Hearing Loss, Sudden / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D008297:Male; D008738:Methyl Ethers; D008875:Middle Aged; D009609:Nitrous Oxide / Q000009:adverse effects; D010100:Oxygen / Q000627:therapeutic use; D010431:Pentoxifylline / Q000627:therapeutic use; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use; D000077149:Sevoflurane; D014012:Tinnitus / Q000209:etiology; D014648:Varicose Veins / Q000601:surgery*
D018685:Anesthetics, Inhalation; D004232:Diuretics; D008738:Methyl Ethers; D002245:Carbon Dioxide; D000077149:Sevoflurane; C011700:carbogen; D011239:Prednisolone; D009609:Nitrous Oxide; D010100:Oxygen; D010431:Pentoxifylline