Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 2/2009

Open Access 01-02-2009 | Review Article

Cochlear implantation in patients with acute or chronic middle ear infectious disease: a review of the literature

Authors: Catharine A. Hellingman, Erwin A. Dunnebier

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2009

Login to get access

Abstract

Although in the past cochlear implantation was considered contraindicated in patients with acute (AOM) or chronic suppurative otitis media (CSOM) with or without middle ear cholesteatoma, recent developments now make it possible to perform cochlear implantation in these patients. Various procedures are available to make the ears of patients with either acute or CSOM suitable for cochlear implantation and to minimize the risk of recurrence of the disease, device extrusion, or intracranial complications. This review discusses these different approaches for optimizing implant survival and preventing complications related to otitis media. We performed a comprehensive literature search of the MEDLINE database. Cochlear implantation can be safely performed in patients with otitis media. However, the infection should be adequately controlled well before implantation, and all measures should be taken to prevent recurrent disease. Therefore, the procedure used should be tailored to individual clinical findings. This article provides a guideline to optimize the course of action in patients suffering from AOM, CSOM or their sequelae in preparation for cochlear implantation.
Literature
1.
Belal A Jr (1986) Contraindications to cochlear implantation. Am J Otol 7:172–175PubMed
2.
3.
Fayad JN, Tabaee A, Micheletto JN et al (2003) Cochlear implantation in children with otitis media. Laryngoscope 113:1224–1227PubMedCrossRef
4.
Luntz M, Teszler CB, Shpak T et al (2001) Cochlear implantation in healthy and otitis-prone children: a prospective study. Laryngoscope 111:1614–1618PubMedCrossRef
5.
Luntz M, Teszler CB, Shpak T (2004) Cochlear implantation in children with otitis media: second stage of a long-term prospective study. Int J Pediatr Otorhinolaryngol 68:273–280PubMedCrossRef
6.
Kennedy RJ, Shelton C (2005) Ventilation tubes and cochlear implants: what do we do? Otol Neurotol 26:438–441PubMedCrossRef
7.
Axon PR, Mawman DJ, Upile T et al (1997) Cochlear implantation in the presence of chronic suppurative otitis media. J Laryngol Otol 111:228–232PubMedCrossRef
8.
Incesulu A, Kocaturk S, Vural M (2004) Cochlear implantation in chronic otitis media. J Laryngol Otol 118:3–7PubMedCrossRef
9.
Babighian G (1993) Problems in cochlear implant surgery. Adv Otorhinolaryngol 48:65–69PubMed
10.
Takahashi H, Naito Y, Fujiki N et al (2000) Cochlear implant surgery in ears with chronic otitis media. Adv Otorhinolaryngol 57:93–95PubMed
11.
El-Kashlan HK, Arts HA, Telian SA (2002) Cochlear implantation in chronic suppurative otitis media. Otol Neurotol 23:53–55PubMedCrossRef
12.
El-Kashlan HK, Arts HA, Telian SA (2003) External auditory canal closure in cochlear implant surgery. Otol Neurotol 24:404–408PubMedCrossRef
13.
El-Kashlan HK, Telian SA (2004) Cochlear implantation in the chronically diseased ear. Curr Opin Otolaryngol Head Neck Surg 12:384–386PubMed
14.
Bendet E, Cerenko D, Linder TE et al (1998) Cochlear implantation after subtotal petrosectomies. Eur Arch Otorhinolaryngol 255:169–174PubMedCrossRef
15.
Donnelly MJ, Pyman BC, Clark GM (1995) Chronic middle ear disease and cochlear implantation. Ann Otol Rhinol Laryngol Suppl 166:406–408PubMed
16.
Roehm PC, Gantz BJ (2006) Cochlear implant explantation as a sequel of severe chronic otitis media: case report and review of the literature. Otol Neurotol 27:332–336PubMedCrossRef
17.
Kim CS, Chang SO, Lee HJ et al (2004) Cochlear implantation in patients with a history of chronic otitis media. Acta Otolaryngol 124:1033–1038PubMed
18.
Himi T, Harabuchi Y, Shintani T et al (1997) Surgical strategy of cochlear implantation in patients with chronic middle ear disease. Audiol Neurootol 2:410–417PubMedCrossRef
19.
Gray RF, Irving RM (1995) Cochlear implants in chronic suppurative otitis media. Am J Otol 16:682–686PubMed
20.
Gray RF, Ray J, McFerran DJ (1999) Further experience with fat graft obliteration of mastoid cavities for cochlear implants. J Laryngol Otol 113:881–884PubMedCrossRef
21.
Marangos N, Laszig R (1997) Cochlear implant surgery and radical cavities. Adv Otorhinolaryngol 52:147–150PubMed
22.
Basavaraj S, Shanks M, Sivaji N et al (2005) Cochlear implantation and management of chronic suppurative otitis media: single stage procedure? Eur Arch Otorhinolaryngol 262:852–855PubMedCrossRef
23.
Webb RL, Lehnhardt E, Clark GM et al (1991) Surgical complications with the cochlear multiple-channel intracochlear implant: experience at Hannover and Melbourne. Ann Otol Rhinol Laryngol 100:131–136PubMed
24.
Cohen NL, Hoffman RA, Stroschein M (1988) Medical or surgical complications related to the Nucleus multichannel cochlear implant. Ann Otol Rhinol Laryngol Suppl 135:8–13PubMed
25.
Pasanisi E, Vincenti V, Bacciu A et al (2002) Multichannel cochlear implantation in radical mastoidectomy cavities. Otolaryngol Head Neck Surg 127:432–436PubMedCrossRef
26.
Kiefer J, von Ilberg C (1997) Special surgical problems in cochlear implant patients. Adv Otorhinolaryngol 52:135–139PubMed
27.
Hamzavi J, Baumgartner W, Franz P et al (2001) Radical cavities and cochlear implantation. Acta Otolaryngol 121:607–609PubMedCrossRef
28.
Tamura Y, Shinkawa A, Ishida K et al (1997) Cochlear implant after reconstruction of the external bony canal wall and tympanic cavity in radically mastoidectomized patients with cholesteatoma. Auris Nasus Larynx 24:361–366PubMedCrossRef
29.
Manrique M, Cervera-Paz FJ, Espinosa JM et al (1996) Cochlear implantation in radical cavities of mastoidectomy. Laryngoscope 106:1562–1565PubMedCrossRef
30.
Karatzanis AD, Chimona TS, Prokopakis EP et al (2003) Cochlear implantation after radical mastoidectomy: management of a challenging case. ORL J Otorhinolaryngol Relat Spec 65:375–378PubMed
31.
Tong MC, van Hasselt CA (1997) Cochlear implant surgery in a modified radical mastoidectomy cavity reconstructed utilizing the Hong Kong vascularized temporalis fascia flap technique. Adv Otorhinolaryngol 52:151–154PubMed
32.
Colletti V, Fiorino FG, Carner M et al (2000) New approach for cochlear implantation: cochleostomy through the middle fossa. Otolaryngol Head Neck Surg 123:467–474PubMedCrossRef
33.
Cunningham CD 3rd, Slattery WH 3rd, Luxford WM (2004) Postoperative infection in cochlear implant patients. Otolaryngol Head Neck Surg 131:109–114PubMedCrossRef
34.
Reefhuis J, Honein MA, Whitney CG et al (2003) Risk of bacterial meningitis in children with cochlear implants. N Engl J Med 349:435–445PubMedCrossRef
35.
US Food Drug Administration (2003) Cochlear implants and meningitis. FDA Consum 37:35
36.
Bluestone CD (2003) Prevention of meningitis: cochlear implants and inner ear abnormalities. Arch Otolaryngol Head Neck Surg 129:279–281PubMed
37.
Sanders L (2005) Otitis media and cochlear implantation—pointers and pitfalls. Immunology and infection. Presented at the 5th extraordinary international symposium on recent advances in otitis media, Amsterdam, the Netherlands, 24–27 April 2005
Metadata
Title
Cochlear implantation in patients with acute or chronic middle ear infectious disease: a review of the literature
Authors
Catharine A. Hellingman
Erwin A. Dunnebier
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 2/2009
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-008-0828-0

Other articles of this Issue 2/2009

European Archives of Oto-Rhino-Laryngology 2/2009 Go to the issue

Review Article

Update on hemangiomas and vascular malformations of the head and neck

Head and Neck

Deep neck infections: a retrospective review of 112 cases

Head and Neck

18-FDG PET in the diagnosis of laterocervical metastases from occult carcinoma

Otology

Association between surgical steps and intraoperative auditory brainstem response and electrocochleography waveforms during hearing preservation vestibular schwannoma surgery

Miscellaneous

Dysphagia caused by ventral osteophytes of the cervical spine: clinical and radiographic findings

Society News

Training and Research for Europe: from basic to advanced