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We present the case of a 59\u2009year-old male patient who experienced bilateral hearing loss and vertigo following a backward fall from a height of 2\u2009m. Temporal bone computed tomography scans revealed bilateral fractures involving the otic capsule with hemorrhage in both mastoid cavities. Audiologic evaluation confirmed bilateral profound sensorineural hearing loss, and vestibular testing indicated bilateral vestibular hypofunction. The patient underwent unilateral cochlear implantation (CI) on the left side, resulting in improved aided hearing thresholds (~45\u2009dB HL) and enhanced verbal communication. He also participated in customized vestibular rehabilitation, comprising 4 sessions over 8\u2009weeks. Clinical improvement was observed in balance confidence, visual acuity during head movement, and postural control tests. The Dizziness Handicap Inventory score decreased from 16 to 0, while the Activities-Specific Balance Confidence Score increased from 59% to 78%. This case emphasizes the importance of integrated auditory and vestibular rehabilitation in patients with bilateral TBFs, demonstrating that CI combined with vestibular therapy can facilitate significant functional recovery.<\/jats:p>","DOI":"10.1177\/01455613251380072","type":"journal-article","created":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T09:12:53Z","timestamp":1759050773000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Case of Bilateral Temporal Bone Fractures Treated With Cochlear Implantation and Customized Vestibular Rehabilitation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2793-9045","authenticated-orcid":false,"given":"Jeon Mi","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3826-8830","authenticated-orcid":false,"given":"Hyun Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1584197"},{"issue":"1","key":"e_1_3_2_3_2","article-title":"Report of an otic capsule disrupting fracture of the temporal bone: visualization of pneumolabyrinth and functional assessment","volume":"13","author":"Moln\u00e1r D","year":"2021","unstructured":"Moln\u00e1r D, Mez\u0151 M, Vaska Z, Sevecsek Z, Helfferich F. Report of an otic capsule disrupting fracture of the temporal bone: visualization of pneumolabyrinth and functional assessment. 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Cochlear implantation in fractured inner ears. 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