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

  • Otology
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Abstract

The purpose of this paper is to propose management options for cochlear implantation in chronic otitis media (COM) based on our 7-year experience. Thirteen patients with COM who were candidates for cochlear implantation were identified. COM was divided in an inactive and an active form based on clinical and radiological findings. One major complications and one minor complication were identified in the study group. In case of an active infection or in case of a unstable cavity we advise cochlear implantation as a staged procedure. A single stage procedure is recommended in case of patients with COM presenting with a dry perforation or a stable cavity.

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References

  1. Postelmans JT, Cleffken B, Stokroos RJ (2007) Postoperative complications of cochlear implantation in adults and children: five years’ experience in Maastricht. J Laryngol Otol 121:318–323. doi:10.1017/S0022215106003471

    Article  CAS  PubMed  Google Scholar 

  2. Cohen NL, Hoffman R (1991) Complications of cochlear implant surgery in adults and children. Ann Otol Rhinol Laryngol 100:708–711

    Article  CAS  PubMed  Google Scholar 

  3. Bhatia K, Gibbin KP, Nikolopoulos TP et al (2004) Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 25:730–739. doi:10.1097/00129492-200409000-00015

    Article  PubMed  Google Scholar 

  4. Harada T, Ishida K, Endo M et al (2003) Recurrent extrusion of cochlear implant at an interval of 5 years. Otol Neurotol 24:83–85. doi:10.1097/00129492-200301000-00017

    Article  PubMed  Google Scholar 

  5. Donnelly MJ, Pyman BC, Clark GM (1995) Chronic middle ear disease and cochlear implantation. Ann Otol Rhinol Laryngol Suppl 166:406–408

    CAS  PubMed  Google Scholar 

  6. Syms MJ, Luxford WM (2003) Management of cholesteatoma: status of the canal wall. Laryngoscope 113:443–448. doi:10.1097/00005537-200303000-00010

    Article  PubMed  Google Scholar 

  7. Roberson JB Jr, Mason TP, Stidham KR (2003) Mastoid obliteration: autogenous cranial bone pate reconstruction. Otol Neurotol 24:132–140. doi:10.1097/00129492-200303000-00002

    Article  PubMed  Google Scholar 

  8. Mills RP (1988) Surgical management of the discharging mastoid cavity. J Laryngol Otol Suppl 16:1–6

    CAS  PubMed  Google Scholar 

  9. Palva T (1988) Surgical treatment of chronic middle ear disease. III. Revisions after tympanomastoid surgery. Acta Otolaryngol 105:82–89. doi:10.3109/00016488809119449

    Article  CAS  PubMed  Google Scholar 

  10. Sheehy JL (1988) Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol 97:30–35

    Article  CAS  PubMed  Google Scholar 

  11. Gray RF, Irving RM (1995) Cochlear implants in chronic suppurative otitis media. Am J Otol 16:682–686

    CAS  PubMed  Google Scholar 

  12. Meyerhoff WL, Stringer SP, Roland PS (1988) Rambo procedure: modification and application. Laryngoscope 98:795–796

    CAS  PubMed  Google Scholar 

  13. Axon PR, Mawman DJ, Upile T, Ramsden RT (1997) Cochlear implantation in the presence of chronic suppurative otitis media. J Laryngol Otol 111:228–232. doi:10.1017/S0022215100136977

    Article  CAS  PubMed  Google Scholar 

  14. Hamzavi J, Baumgartner W, Franz P, Plenk H (2001) Radical cavities and cochlear implantation. Acta Otolaryngol 121:607–609

    Article  CAS  PubMed  Google Scholar 

  15. Issing PR, Schonermark MP, Winkelman S et al (1998) Cochlear implantation in patients with chronic otitis: indications for subtotal petrosectomy and obliteration of the middle ear. Skull Base Surg 8:127–131

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. El-Kashlan HK, Arts HA, Telian SA (2002) Cochlear implantation in chronic suppurative otitis media. Otol Neurotol 23:53–55. doi:10.1097/00129492-200201000-00013

    Article  PubMed  Google Scholar 

  17. Tamura Y, Shinkawa A, Ishida K et al (1997) Cochlear implant after reconstruction of the external bony canal wall and tympanic cavity in radically mastoidectomized patients with cholesteatoma. Auris Nasus Larynx 24:361–366. doi:10.1016/S0385-8146(97)10001-3

    Article  CAS  PubMed  Google Scholar 

  18. Manrique M, Cervera-Paz FJ, Espinosa JM et al (1996) Cochlear implantation in radical cavities of mastoidectomy. Laryngoscope 106:1562–1565. doi:10.1097/00005537-199612000-00024

    Article  CAS  PubMed  Google Scholar 

  19. Colletti V, Fiorino FG, Carner M et al (1998) Basal turn cochleostomy via the middle fossa route for cochlear implant insertion. Am J Otol 19:778–784

    CAS  PubMed  Google Scholar 

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Conflict of interest statement

All authors declare that there is no financial relationship with any type of organization that might have sponsored this research.

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This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Maastricht University Medical Centre, P. Debyelaan 25, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands

    Job T. F. Postelmans, Robert J. Stokroos, Joris J. Linmans & Bernd Kremer

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  1. Job T. F. Postelmans
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  2. Robert J. Stokroos
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  3. Joris J. Linmans
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  4. Bernd Kremer
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Correspondence to Job T. F. Postelmans.

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Postelmans, J.T.F., Stokroos, R.J., Linmans, J.J. et al. Cochlear implantation in patients with chronic otitis media: 7 years’ experience in Maastricht. Eur Arch Otorhinolaryngol 266, 1159–1165 (2009). https://doi.org/10.1007/s00405-008-0842-2

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  • DOI: https://doi.org/10.1007/s00405-008-0842-2

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