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Effect of otitis media with effusion on cochlear implant surgery: technical difficulties, post-operative complications and outcome

Published online by Cambridge University Press:  10 July 2015

F Alzoubi ,
H Odat ,
A Nuseir ,
A Al Omari  and
B Al-Zuraiqi
F Alzoubi*
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
H Odat
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
A Nuseir
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
A Al Omari
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
B Al-Zuraiqi
Affiliation:
Department of Otolaryngology, King Abdullah Medical City, Mecca, Saudi Arabia
*
Address for correspondence: Dr F Alzoubi, Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan E-mail: [email protected]
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Abstract

Objective:

This study evaluated the complications and outcomes of cochlear implantation in patients who had otitis media with effusion at the time of surgery.

Methods:

A retrospective chart review study was performed of 87 consecutive paediatric patients (age range 22 months to 10 years, mean 4.8 years) who underwent successful cochlear implantation, with follow-up periods of 5–6 years. All patients had unilateral implants, with eight on the left side. All devices were activated two weeks after implantation. The effect of the middle-ear condition on the procedure, post-operative complications and outcome were evaluated.

Results:

Unilateral ears of 17 otitis media with effusion patients were implanted with some surgical difficulties but no long-term post-operative complications.

Conclusion:

For children admitted for cochlear implantation who are subsequently found to have otitis media with effusion, surgeons should be aware of possible surgical difficulties. Greater intra-operative risks should be anticipated and more surgical time allowed for cochlear implantation in these patients.

Keywords

Cochlear ImplantsOtitis Media with EffusionPost-operative Complications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 8 , August 2015 , pp. 762 - 766
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Kennedy, RJ, Shelton, C. Ventilation tubes and cochlear implants: what do we do? Otol Neurotol 2005;26:438–41CrossRefGoogle Scholar
2Kim, CS, Chang, SO, Lee, HJ, Shim, WS, Oh, SH, Kim, YH. Cochlear implantation in patients with a history of chronic otitis media. Acta Otolaryngol 2004;124:1033–8CrossRefGoogle ScholarPubMed
3Clark, GM. Cochlear Implants: Fundamentals and Applications, 1st edn.New York: Springer, 2003;160–98CrossRefGoogle Scholar
4von Elm, E, Altman, DG, Egger, M, Pocock, SJ, Gøtzsche, PC, Vandenbroucke, JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61:344–9CrossRefGoogle ScholarPubMed
5Hehar, SS, Nikolopoulos, TP, Gibbin, KP, O'Donoghue, GM. Surgery and functional outcomes in deaf children receiving cochlear implants before age 2 years. Arch Otolaryngol Head Neck Surg 2002;128:11–14CrossRefGoogle ScholarPubMed
6Lenarz, T. Sensorineural hearing loss in children. Int J Pediatr Otorhinolaryngol 1999;49:S179–81CrossRefGoogle ScholarPubMed
7Fayad, JN, Tabaee, A, Micheletto, JN, Parisier, SC. Cochlear implantation in children with otitis media. Laryngoscope 2003;113:1224–7CrossRefGoogle ScholarPubMed
8Luntz, M, Hodges, AV, Balkany, T, Dolan-Ash, S, Schloffman, J. Otitis media in children with cochlear implants. Laryngoscope 1996;106:1403–5CrossRefGoogle ScholarPubMed
9Luntz, M, Teszler, CB, Shpak, T, Feiglin, H, Farah-Sima'an, A. Cochlear implantation in healthy and otitis-prone children: a prospective study. Laryngoscope 2001;111:1614–18CrossRefGoogle ScholarPubMed
10House, WF, Luxford, WM, Courtney, B. Otitis media in children following the cochlear implant. Ear Hear 1985;6:S24–6CrossRefGoogle ScholarPubMed
11Joglekar, S, Morita, N, Cureoglu, S, Schachern, PA, Deroee, AF, Tsuprun, V et al. Cochlear pathology in human temporal bones with otitis media. Acta Otolaryngol 2010;130:472–6CrossRefGoogle ScholarPubMed
12Tykocimski, M, Cohen, LT, Cowan, RS. Measurement and analysis of access resistance and polarization impedance in cochlear implant recipients. Otol Neurotol 2005;26:948–56CrossRefGoogle Scholar
13Papsin, BC, Bailey, CM, Albert, DM, Bellman, SC. Otitis media with effusion in paediatric cochlear implantees: the role of peri-implant grommet insertion. Int J Pediatr Otorhinolaryngol 1996;38:13–19CrossRefGoogle ScholarPubMed
14Nikolopoulos, TP, Archbold, SM, O'Donoghue, GM. The development of auditory perception in children following cochlear implantation. Int J Pediatr Otorhinolaryngol 1999;49:S189–91CrossRefGoogle ScholarPubMed
15Kempf, HG, Stover, T, Lenarz, T. Mastoiditis and acute otitis media in children with cochlear implants: recommendations for medical management. Ann Otol Rhinol Laryngol Suppl 2000;185:25–7CrossRefGoogle ScholarPubMed
16Lenarz, T. Cochlear implantation in children under the age of two years. Adv Otorhinolaryngol 1997;52:204–10Google ScholarPubMed
17Lack, G, Caulfield, H, Penagos, M. The link between otitis media with effusion and allergy: a potential role for intranasal corticosteroids. Pediatr Allergy Immunol 2011;22:258–66CrossRefGoogle ScholarPubMed
18Reefhuis, J, Honein, MA, Whitney, CG, Chamany, S, Mann, EA, Biernath, KR et al. Risk of bacterial meningitis in children with cochlear implants. N Engl J Med 2003;349:435–45CrossRefGoogle ScholarPubMed
19Franz, BK, Clark, GM, Bloom, DM. Effect of experimentally induced otitis media on cochlear implants. Ann Otol Rhinol Laryngol 1987;96:174–7CrossRefGoogle ScholarPubMed
20Sade, J. The effective and rational treatment of secretory otitis media. Mediterr J Otol 2005;1:1–8Google Scholar