Cochlear implantation in patients with chronic otitis media: 7 years’ experience in Maastricht

Although cochlear implantation is considered a safe method of rehabilitation for profoundly deaf individuals, a number of these patients suffer complications after surgery. To evaluate post-operative complications after cochlear implantation, a retrospective chart review was performed for 112 patients who had undergone implantation in the Maastricht Academic Hospital. Minor complications were defined as those that could be overcome by medical or audiological management. These occurred in 36 patients (32 per cent) and all were managed successfully. Major complications were defined as device extrusion and those requiring further surgery, and these were identified in four patients (3.6 per cent). These complications included wound infection and device failure mediated by middle-ear pathology. In cases of chronic otitis media, we recommend performance of cochlear implantation as a staged procedure. In order to reduce the post-operative incidence of acute otitis media, we recommend adenoidectomy, placement of ventilation tubes and early antibiotic treatment.

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Subtotal Petrosectomy for cochlear implantation in cases of Chronic Otitis Media

The Journal of Laryngology & Otology ◽

10.1017/s0022215116002036 ◽

2016 ◽

Vol 130 (S3) ◽

pp. S27-S27

Author(s):

Miguel Arístegui

Keyword(s):

Otitis Media ◽

Cochlear Implantation ◽

Chronic Otitis Media ◽

Subtotal Petrosectomy

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Cochlear implantation in chronic otitis media

The Journal of Laryngology & Otology ◽

10.1258/002221504322731538 ◽

2004 ◽

Vol 118 (1) ◽

pp. 3-7 ◽

Cited By ~ 26

Author(s):

A. Incesulu ◽

S. Kocaturk ◽

M. Vural

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Cochlear Implantation ◽

Surgical Procedure ◽

Disease Process ◽

Chronic Otitis Media ◽

Profound Hearing Loss ◽

Potential Risks ◽

Radical Cavity

Patients with chronic otitis media (COM) may have profound sensorineural hearing loss either due to the disease process or secondary to a surgical procedure. Some patients who are candidates for cochlear implantation may have COM coincidentally. The patients in this group need special attention when cochlear implantation is applied. The aim of this study is to evaluate the potential risks and complications in patients with COM.Cochlear implantation was performed in six patients with COM or an infected radical cavity and profound hearing loss. Five of them underwent a two-stage operation, and one had a single-stage operation. Cochlear implantation was performed in all patients without complications. The follow-up period was uneventful.Although such patients have some potential risks, when certain surgical rules are followed very strictly cochlear implantation can be successfully performed in patients with COM.

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