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Cochlear Implantation in Children with Otitis Media

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Abstract

One of the concerns during the cochlear implant candidacy process is the presence of chronic otitis media which could delay the implantation process. The aim of this study was to evaluate the surgical difficulties and the long-term complications in children with otitis media and to examine whether it is necessary to delay the implantation until the infection is resolved. The study used a comparative retrospective design based on chart review of all patients who received their implant(s) from January to December of 2012. A total of 200 patients were identified and were followed for 4 years post surgery. Patients were divided into three groups based on their history of otitis media (non-otitis media, chronic otitis media with effusion, and acute otitis media). Data included long-term complications, operative time and duration from first clinical visit to the time until implantation was received. None of study participants had long-term complications during the study period. The operative time was longer in the acute otitis media group with a difference of 45 min. The average delay in cochlear implantation due to the presence of otitis media in chronic group was more than 5 months. Pediatric patients with otitis media could be implanted in one stage safely and effectively.

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References

  1. Ray J, Gibson W, Sanli H (2004) Surgical complications of 844 consecutive cochlear implantations and observations on large versus small incisions. Cochlear Implants Int 5:87–95

    Article  Google Scholar 

  2. Bajaj Y, Wyatt M, Hartley B (2005) Small Postural incision for pediatric cochlear implantation. Cochlear Implants Int 6:77–84

    Article  CAS  Google Scholar 

  3. Fayad JN, Tabaee A, Micheletto JN, Parisier SC (2003) Cochlear implantation in children with otitis media. Laryngoscope 113:1224–1227

    Article  Google Scholar 

  4. Cohen NL, Roland JT Jr, Marrinan M (2004) Meningitis in cochlear implant recipients: the North American experience. Otol Neurotol 25:275–281

    Article  Google Scholar 

  5. Wei BP, Shepherd RK, Robins-Browne RM, Clark GM, O’Leary SJ (2007) Threshold shift: effects of cochlear implantation on the risk of pneumococcal meningitis. Otolaryngol Head Neck Surg 136:589–596

    Article  Google Scholar 

  6. Kempf HG, Stöver T, Lenarz T (2000) Mastoiditis and acute otitis media in children with cochlear implants: recommendations for medical management. Ann Otol Rhinol Laryngol Suppl 185:25–27

    Article  CAS  Google Scholar 

  7. Brake MK, Jewer K, Flowerdew G, Cavangh JP, Cron C, Hong P (2012) Tympanocentesis results of a Canadian pediatric myringotomy population, 2008 to 2010. J Otolaryngol Head Neck Surg 41:282–287

    PubMed  Google Scholar 

  8. Reefhuis J, Honein MA, Whitney CG, Chamany S, Mann EA, Biernath KR et al (2003) Risk of bacterial meningitis in children with cochlear implants. N Engl J Med 349:435–445

    Article  Google Scholar 

  9. Bhatia K, Gibbin KP, Nikolopoulos TP, O’Donoghue GM (2004) Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 25:730–739

    Article  Google Scholar 

  10. Lalwani AK, Cohen NL (2012) Does meningitis after cochlear implantation remain a concern in 2011? Otol Neurotol 33:93–95

    Article  Google Scholar 

  11. Clark GM, Cohen NL, Shepherd RK (1991) Surgical and safety considerations of multichannel cochlear implants in children. Ear Hear 12:15S–24S

    Article  CAS  Google Scholar 

  12. House WF, Luxford WM, Courtney B (1985) Otitis media in children following the cochlear implant. Ear Hear 6:24S–26S

    Article  CAS  Google Scholar 

  13. Franz BK, Clark GM, Bloom DM (1987) Effect of experimentally induced otitis media on cochlear implants. Ann Otol Rhinol Laryngol 96:174–177

    Article  CAS  Google Scholar 

  14. Franz BK, Clark GM, Bloom DM (1984) Permeability of the implanted round window membrane in the cat. An investigation using horseradish peroxidase. Acta Otolaryngol Suppl 410:17–23

    Article  Google Scholar 

  15. Dahm MC, Clark GM, Franz BK, Shepherd RK, Burton MJ, Robins-Browne R (1994) Cochlear implantation in children: labyrinthitis following pneumococcal otitis media in unimplanted and implanted cat cochleas. Acta Otolaryngol 114:620–625

    Article  CAS  Google Scholar 

  16. Ruellan K, Frijns JH, Bloemberg GV, Hautefort C, Van den Abbeele T, Lamers GE et al (2010) Detection of bacterial biofilm on cochlear implants removed because of device failure, without evidence of infection. Otol Neurotol 31:1320–1324

    Article  Google Scholar 

  17. Hall-Stoodley L, Costerton JW, Stoodley P (2004) Bacterial biofilms: from the natural environment to infectious diseases. Nat Rev Microbiol 2:95–108

    Article  CAS  Google Scholar 

  18. Stewart PS, Costerton JW (2001) Antibiotic resistance of bacteria in biofilms. Lancet 358:135–138

    Article  CAS  Google Scholar 

  19. Vinh DC, Embil JM (2005) Device-related infections: a review. J Long Term Eff Med Implants 15:467–488

    Article  Google Scholar 

  20. Luntz M, Hodges AV, Balkany T, Dolan-Ash S, Schloffman J (1996) Otitis media in children with cochlear implants. Laryngoscope 106:1403–1405

    Article  CAS  Google Scholar 

  21. Manrique M, Cervera-Paz FJ, Huarte A, Molina M (2004) Prospective long-term auditory results of cochlear implantation in prelinguistically deafened children: the importance of early implantation. Acta Otolaryngol Suppl 552:55–63

    Article  Google Scholar 

  22. House WF (1982) Surgical considerations in cochlear implantation. Ann Otol Rhinol Laryngol Supp 91:15–20

    CAS  Google Scholar 

Download references

Acknowledgements

This research was funded by Prince Sultan Research Chair for Hearing Disability and Implantable Hearing Devices, King Saud University, Riyadh, Saudi Arabia. It is one of the recommended ideas for research projects by Saudi ORL.

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Authors and Affiliations

  1. King Abdullah Ear Specialist Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Farid Alzhrani & Abdulrahman Abdullah Hagr

  2. Department of Otolaryngology, King Fahad Specialist Hospital, Khobar, Saudi Arabia

    Mohammed Saeed Alahmari & Ibrahim Khalid Al Jabr

  3. Medical Audiology Sciences, American University of Beirut, Beirut, Lebanon

    Soha N. Garadat

Authors
  1. Farid Alzhrani
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  2. Mohammed Saeed Alahmari
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  3. Ibrahim Khalid Al Jabr
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  4. Soha N. Garadat
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  5. Abdulrahman Abdullah Hagr
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Correspondence to Soha N. Garadat.

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the authors have no conflict of interest to disclose.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Alzhrani, F., Alahmari, M.S., Al Jabr, I.K. et al. Cochlear Implantation in Children with Otitis Media. Indian J Otolaryngol Head Neck Surg 71 (Suppl 2), 1266–1271 (2019). https://doi.org/10.1007/s12070-018-1301-z

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  • DOI: https://doi.org/10.1007/s12070-018-1301-z

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