title: Cochlear implantation in the chronically diseased ear.
abstract: OBJECTIVE
  The presence of chronic ear disease in patients with profound SNHL presents a challenge to the otologic surgeon and was considered, in the past, a contraindication to cochlear implantation. This review discusses options for cochlear implantation in patients with chronically diseased ears.
  
  
  RESULTS
  Several management options are available for cochlear implantation in patients with chronic suppurative otitis media (CSOM) and severe to profound sensorineural hearing loss (SNHL).
  
  
  CONCLUSIONS
  Cochlear implantation can be safely achieved in patients with CSOM. The approach chosen should be individualized based on clinical findings.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0312, USA. hussam@umich.edu
authors.forename: Hussam K
authors.initials: HK
authors.lastname: El-Kashlan
authors.forename: Steven A
authors.initials: SA
authors.lastname: Telian
mesh_terms: D000293:Adolescent; D000328:Adult; D001299:Audiometry / Q000379:methods; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D019929:Cochlear Implantation / Q000379:methods*; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D010035:Otitis Media, Suppurative / Q000175:diagnosis / Q000601:surgery*; D011379:Prognosis; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000175:diagnosis / Q000601:surgery