Ototoxicity

History

• Serial audiograms beginning at age 1 year

• Female patient with history of neuroblastoma

• Resection surgery July 1996 (first audio March 1996)

• Post op radiation and chemotherapy

• Bone marrow transplant

History Cont’

• Vancomycin and gentamycin

• No family history

• CT showed no malformation of cochlea or nerve

• 3/96• First

Audio

• 8/98

• 9/98

• 1/99

• 3/99

• 9/99

• 10/99

• 10/99

• 10/99

• 11/99

• 9/00

• 12/00

• 7/01

• 1/05