Which of the following would be the most appropriate treatment for rehabilitation of a patient, who has bilateral profound deafness following surgery for bilateral acoustic schwannoma?: (A) Bilateral high powered digital hearing aid, (B) Bilateral cochlear implant, (C) Unilateral cochlear implant, (D) Brainstem implant
Answer is D. Ans. D Brainstem implant Ref. Harrison 17th/ed p 204 Rehabilitative measure Conductive hearing loss Mild I moderate SNHL Bilateral severe to profound SNHL with word recognition score < 30% Bilateral damage to eight nerve by trauma Ibilateral vestibular Corrective surgery I Hearing aids Hearing aids Cochlear implants Brainstem auditory implants (placed near cochlear nucleus) schwannoma