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Otologic Symptoms in 2 Patients with CobaltContaining Hip Prostheses.
- Source :
- B-ENT; Apr2024, Vol. 20 Issue 2, Following p146-146, 5p
- Publication Year :
- 2024
-
Abstract
- Systemic poisoning related to cobalt–chromium total hip arthroplasty can affect multiple organs. In the otolaryngologic area the most frequent symptoms are tinnitus and hearing loss. In this report, we describe 2 patients with cobalt-containing hip prostheses who presented with otologic symptoms. The first case describes a patient with an extremely high cobalt blood level, which we believe may be one of the highest reported to date, after replacing a broken ceramic-on-ceramic prosthesis with a metal-on-metal prosthesis. This patient suffered all known complications associated with cobalt poisoning and survived. The second case, a female patient with a left resurfacing metal-on-metal prothesis, presented with bilateral continuous high-pitched tinnitus that started 8 months after surgery. Orthopedic surgeons and otologists should be vigilant for cobalt-induced ototoxicity in patients with metal-on-metal total hip prostheses. [ABSTRACT FROM AUTHOR]
- Subjects :
- PROSTHETICS
RISK assessment
TOTAL hip replacement
NOISE-induced deafness
SENSORINEURAL hearing loss
CHELATING agents
COBALT
ARTIFICIAL implants
MAGNETIC resonance imaging
AUDIOMETRY
CHROMIUM
SURGICAL complications
TINNITUS
ACETYLCYSTEINE
X-rays
OTOTOXICITY
HEARING disorders
DISEASE risk factors
EQUIPMENT & supplies
SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 1781782X
- Volume :
- 20
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- B-ENT
- Publication Type :
- Academic Journal
- Accession number :
- 178448925
- Full Text :
- https://doi.org/10.5152/B-ENT.2024.21820