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Cochlear implantation in the presence of chronic suppurative otitis media

Published online by Cambridge University Press:  29 June 2007

P. R. Axon ,
D. J. Mawman ,
T. Upile  and
R. T. Ramsden
P. R. Axon*
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
D. J. Mawman
Affiliation:
Department of Otolaryngology, Manchester cochlear implant programme, Manchester, UK
T. Upile
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
R. T. Ramsden
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
*
Address for correspondence: Mr P. R. Axon, 1 Westgate, Hale, Altrincham WA159AY. Fax: 0161 276 8511
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Abstract

Nine patients are presented who underwent cochlear implantation in the presence of chronic suppurative otitis media. Four had a simple tympanic membrane perforation, four had a pre-existing mastoid cavity and one had cholesteatoma in the ear chosen for implantation. Patients with a simple perforation had a staged procedure with myringoplasty followed by cochlear implantation after an interval of three months. Patients with cholesteatoma or with an unstable mastoid cavity were also staged. A mastoidectomy or revision mastoidectomy was performed with obliteration of the middle ear and mastoid using a superiorly pedicled temporalis muscle flap and blind sac closure of the external meatal skin. After a further six months a second stage procedure was performed to confirm that the middle-ear cleft was healthyand to insert the implant. Patients presenting with a stable mastoid cavity underwent obliteration of the cavity and implantation of the electrode as a one-staged procedure. To date there have been no serious problems such as graft breakdown, recurrence of disease or implant extrusion, and all patients are performing well.

Keywords

Cochlear implantotitis mediachronic suppurative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 3 , March 1997 , pp. 228 - 232
Copyright
Copyright © JLO (1984) Limited 1997

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References

Clarke, G. M., Pyman, B. C., Webb, R. L. (1995) Chronic middle ear disease and cochlear implantation. Annals of Otology, Rhinology and Larvngology (Suppl. 166): 406–408.Google Scholar
Franz, B. K. H., Aud, D., Clark, G. M. (1987) Effect of experimentally induced otitis media on cochlear implants. Annals of Otology, Rhinology and Laryngology 96: 174–177.CrossRefGoogle ScholarPubMed
Irving, R. M., Gray, R. F. (1994) Cochlear implants in chronic suppurative otitis media: preparing the septic ear for a sterile device. (Hochmair-Desoyer, II, Hochmair, ES, eds.) Advances in Cochlear implants Vienna, Austria, Manz, pp 223–227.Google Scholar
Jackler, R. K., O'Donoghue, G. M., Schindler, R. A. (1986) Cochlear implantation: Strategies to protect the implanted cochlear from middle ear infection. Annals of Otology, Rhinology and Laryngology 95: 66–70.CrossRefGoogle ScholarPubMed
Schlondorff, G., Hermes, H., Week, L. (1989) Cochlear implants bei patientten mit radikalhohle. Head and Neck, Otolaryngology 37 (10): 423–425.Google Scholar
Summerfield, A. Q., Marshall, D. H. (1995) Cochlear Implantation in the UK 1990–1994. Main report, report by the MRC Institute of Hearing Research HMSO, London, UK pp 63–89.Google Scholar