Question: A 62 year old woman with a ventriculoperitoneal shunt is evaluated for cochlear implant candidacy. The shunt tubing runs directly behind the right ear. Word scores (CNC list) for the right and left ear are 32% and 59%, respectively. The shunt is non-programmable. Which of the following is the correct next step in management?

a) Reposition the shunt to the left side and implant the right ear

b) Implant the right ear being cognizant of the shunt tubing during placement

c) Implant the left ear to avoid the shunt side

d) None of the above

[Answer will be posted with next week's new question]

Answer to last week's question, “Shut and Open” (October 30, 2023)

A - Open the wound and make the patient NPO.