Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T17:02:24.475Z Has data issue: false hasContentIssue false
  • English
  • Français

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]
Get access Rights & Permissions [Opens in a new window]

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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