ochlear Implantation (CI) is an effective and doable alternative to restore hearing in cases of bilateral severe to profound hearing loss in patients who do not benefit from using an individual sound amplification device. 1,2 According to various authors by far the most common causes of recurrent CI is the migration of the implant and/or extrusion, technical failure and implant misplacement of the electrode array in the spiral canal of the cochlea. In general, the rate of complications is low. In the presence of abnormalities of the inner ear the risk of improper administration of the active electrode into the cochlea increases. 3 This complication according to some authors is 0.17-2.12%. 4
The article describes a clinical case of facial nerve plastic reconstruction in a 3-year-old child after its damage during antromastoidotomy for acute purulent mastoiditis. A brief literature review presents a description of facial nerve damage etiology, which is in most cases related to the absence (poverty) of anatomical landmarks due to destruction in purulent, tumorous processes, as well as in common cholesteatoma. Restoration of the facial nerve by end-to-end stitching or plastic surgery to autografts of other motor nerves is still a controversial but promising direction. This clinical case adds further credence to the need for facial nerve monitoring during any sanitizing ear surgery.
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