Cochlear implantation and management of chronic suppurative otitis media: single stage procedure?
In a series of 360 patients who underwent cochlear implantation at our center, four patients (five procedures) had cochlear implantation with obliteration of the mastoid cavity and management of cholesteatoma as a single-staged procedure. Three patients were bilaterally deaf secondary to CSOM and had bilateral mastoid cavities, and in one patient congenital cholesteatoma was identified during cochlear implantation. A mastoidectomy or revision mastoidectomy with obliteration of the mastoid cavity and cochlear implantation was performed as a single stage procedure. Cholesteatoma reoccurred in one patient 9 years after cochlear implantation. Surgical procedures, complications, follow-up and outcomes are discussed.
Basavaraj
S
S
Crosshouse Hospital, Scottish Cochlear Implant Centre, Kilmarnock, Scotland, UK. sbbki@yahoo.com
Shanks
M
M
Sivaji
N
N
Allen
Agnes A
AA
D000328:Adult; D000368:Aged; D002781:Cholesteatoma / Q000150:complications / Q000601:surgery*; D002908:Chronic Disease; D019929:Cochlear Implantation / Q000379:methods*; D005260:Female; D034381:Hearing Loss / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery*; D008417:Mastoiditis / Q000209:etiology / Q000601:surgery*; D010035:Otitis Media, Suppurative / Q000150:complications*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome