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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

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