Abstract
Cochlear hypoplasia (CH) represents a group of inner ear malformations in which dimensions are less than those of a normal cochlea with various internal architecture deformities. In cochlear hypoplasia, there is a clear differentiation between cochlea and vestibule. Four different types of cochlear hypoplasia can be identified. Types of hearing loss range from conductive, mixed to sensorineural hearing loss, while degree of hearing loss shows variation from moderate to profound. Most common presentation is profound sensorineural hearing loss. Gusher and meningitis may be encountered in CH-II. CH is the group where facial nerve abnormality is most commonly encountered. Frequent stapes fixation or oval window atresia makes stapedotomy a treatment option. According to the presence of cochlear nerve, cochlear or brainstem implantation may be indicated. In this chapter, radiological, audiological features, and surgical considerations of cochlear hypoplasia along with case presentations are provided.
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References
Sennaroglu L, Ba** MD. Classification and current management of inner ear malformations. Balkan Med J. 2017;34(5):397–411.
Sennaroglu L. Histopathology of inner ear malformations: do we have enough evidence to explain pathophysiology? Cochlear Implants Int. 2016;17(1):3–20.
Melo AS, et al. Cochlear implantation in children with anomalous cochleovestibular anatomy. Auris Nasus Larynx. 2017;44(5):509–16.
Feng YM, et al. Cochlear implantation in a patient with severe cochlear hypoplasia. J Laryngol Otol. 2012;126(11):1172–5.
Puram SV, et al. Auditory brainstem implantation in a 16-month-old boy with cochlear hypoplasia. Otol Neurotol. 2015;36(4):618–24.
Cinar BC, et al. Audiologic and radiologic findings in cochlear hypoplasia. Auris Nasus Larynx. 2017;44(6):655–63.
Sennaroglu L, et al. Cochlear hypoplasia type four with anteriorly displaced facial nerve canal. Otol Neurotol. 2016;37(10):e407–9.
Pamuk G. Measurement of cochlear dimensions in cochlear hypoplasia using temporal bone computerized tomography and magnetic resonance imaging and its effects on cochlear implant selection. Department of Otolaryngology, Hacettepe University Medical Faculty; 2018.
Sennaroglu L, Aydin E. Anteroposterior approach with split ear canal for cochlear implantation in severe malformations. Otol Neurotol. 2002;23(1):39–42; discussion 42–3.
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Sennaroglu, L., Cinar, B.C., Ozgen, B., Pamuk, G. (2022). Cochlear Hypoplasia. In: Sennaroglu, L. (eds) Inner Ear Malformations. Springer, Cham. https://doi.org/10.1007/978-3-030-83674-0_26
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DOI: https://doi.org/10.1007/978-3-030-83674-0_26
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