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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*
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: firasz@just.edu.jo

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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