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February 1996

Cochlear Implantation in a Patient After Removal of an Acoustic Neuroma-Reply

Author Affiliations

Chapel Hill, NC

Arch Otolaryngol Head Neck Surg. 1996;122(2):205. doi:10.1001/archotol.1996.01890140089020

I am pleased Dr Luetje could not remain silent after reading the article we published in the Archives.1 This gives me an opportunity to defend the procedure we used on the patient presented in our article that Dr Luetje thinks is "inadvisable."

The history of the patient is such that she was deaf in the right ear and had noticed an abrupt loss of hearing in the left ear that had been totally normal several months before our procedure. With serial audiograms showing her hearing decreasing, it seemed advisable in our opinion and hers to perform a procedure such that if there was a chance of saving her hearing this could be accomplished. We have had several instances using the retromastoid approach in the past where this was in fact the case, and we anticipated that with the size of the tumor there was some evidence that this could