Abstract
We investigated the usefulness and safety of our cochlear implantation method for two deaf patients with eosinophilic otitis media. The surgical approach was a subtotal petrosectomy to remove the theater of eosinophilic infiltration and to prevent leaching of foreign substances and entry of stimuli that are the cause of eosinophilic inflammations. The operative cavity was obliterated with abdominal fat. There were no complications or recurrent inflammation following surgery in the cases of both patients. It was confirmed by CT scan that the eustachian tube was closed and the operative cavity remained obliterated with abdominal fat. Following the procedure, the hearing threshold results of the two patients were 30 and 34 dB. Cochlear implantation procedures in this report for deaf patients resulting from eosinophilic otitis media may be effective and safe. Using steroids before surgery may be the better option. To further confirm the efficacy and safety of our surgical concept, we need to administer this treatment concept for a large number of cases in a future study.
References
Iino Y, Tomioka-Matsutani S, Matsubara A, Nakagawa T, Nonaka M (2011) Diagnostic criteria of eosinophilic otitis media, a newly recognized middle ear disease. Auris Nasus Larynx 38(4):456–461
Iino Y, Hara M, Hasegawa M, Matsuzawa S, Shinnabe A, Kanazawa H, Yoshida N (2014) Effect of omalizumab on biomarkers in middle ear effusion in patients with eosinophilic otitis media. Acta Otolaryngol 134(4):366–372
Iino Y (2008) Eosinophilic otitis media: a new middle ear disease entity. Curr Allergy Asthma Rep 8(6):525–530
Iwasaki S, Nagura M, Mizuta K (2006) Cochlear implantation in a patient with eosinophilic otitis media. Eur Arch Otorhinolaryngol 263(4):365–369
Fisch U, Mattox DE (1988) Microsurgery of the skull base. Thieme, New York
Kanda Y, Shigeno K, Kinoshita N, Nakao K, Yano M, Matsuo H (1994) Sudden hearing loss associated with interferon. Lancet 343(8906):1134–1135
Ichimiya I, Yoshida K, Hirano T, Suzuki M, Mogi G (2000) Significance of spiral ligament fibrocytes with cochlear inflammation. Int J Pediatr Otorhinolaryngol 56(1):45–51
Cunningham CD 3rd, Slattery WH 3rd, Luxford WM (2004) Postoperative infection in cochlear implant patients. Otolaryngol Head Neck Surg 131(1):109–114
Iino Y, Kakizaki K, Saruya S, Katano H, Komiya T, Kodera K, Ohta K (2006) Eustachian tube function in patients with eosinophilic otitis media associated with bronchial asthma evaluated by sonotubometry. Arch Otolaryngol Head Neck Surg 132(10):1109–1114
Szymanski M, Ataide A, Linder T (2016) The use of subtotal petrosectomy in cochlear implant candidates with chronic otitis media. Eur Arch Otorhinolaryngol 273(2):363–370
Postelmans JT, Stokroos RJ, Linmans JJ, Kremer B (2009) Cochlear implantation in patients with chronic otitis media: 7 years’ experience in Maastricht. Eur Arch Otorhinolaryngol 266(8):1159–1165
Free RH, Falcioni M, Di Trapani G, Giannuzzi AL, Russo A, Sanna M (2013) The role of subtotal petrosectomy in cochlear implant surgery—a report of 32 cases and review on indications. Otol Neurotol 34(6):1033–1040
Bernardeschi D, Nguyen Y, Smail M, Bouccara D, Meyer B, Ferrary E, Sterkers O, Mosnier I (2015) Middle ear and mastoid obliteration for cochlear implant in adults: indications and anatomical results. Otol Neurotol 36(4):604–609
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None.
Ethical approval
This study does not contain any studies with human participants performed by any of the authors.
Rights and permissions
About this article
Cite this article
Sugimoto, H., Hatano, M., Noda, M. et al. Cochlear implantation in deaf patients with eosinophilic otitis media using subtotal petrosectomy and mastoid obliteration. Eur Arch Otorhinolaryngol 274, 1173–1177 (2017). https://doi.org/10.1007/s00405-016-4091-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-016-4091-5