Τίτλος:
Cochlear implantation in atelectasis and chronic otitis media: Long-term follow-up
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
OBJECTIVE:: To report the long-term results of cochlear implantation in cases with chronic otitis media or atelectasis using a single surgical technique performed in a single cochlear implant center. PATIENTS:: Nine patients who were implanted using the blind-pit closure of the external ear canal technique (4 patients with adhesive otitis media and 5 with radical mastoid cavities). Follow-up ranged from 18 months to 12 years (mean, 7.05 yr). INTERVENTION:: The surgical procedure was performed in 2 stages. The first stage included canal wall down or lowering any high facial ridge in previous mastoidectomies, removal of all skin, and blind-pit closure of the external ear canal without mastoid cavity obliteration or eustachian tube obliteration. Cochlear implantation was performed 6 months after the first surgical procedure. RESULTS:: All operations were uneventful, and during cochlear implantation, as a second stage, no epithelia or other problems were encountered. No serious complications were encountered during the follow-up period. One case had a minor disruption of the external canal closure that was reclosed successfully under local anesthesia. All patients were using the device at the last follow-up interval with no device problems. CONCLUSION:: Blind-sac closure of the external ear canal without obliteration is a rather safe surgical procedure in cases with chronic otitis media or atelectasis. Meticulous surgical technique and proper patient selection are of paramount importance. However, a 2-stage procedure may not always be necessary andmight best be confined to those patients who have active inflammatory disease at the primary procedure. © 2008, Otology & Neurotology, Inc.
Συγγραφείς:
Xenellis, J.
Nikolopoulos, T.P.
Marangoudakis, P.
Vlastarakos, P.V.
Tsangaroulakis, A.
Ferekidis, E.
Περιοδικό:
Otology and Neurotology
Λέξεις-κλειδιά:
adult; aged; article; atelectasis; auditory tube; blind sac closure; chronic otitis media; clinical article; clinical trial; cochlea prosthesis; ear disease; external auditory canal; female; follow up; human; implantation; local anesthesia; male; mastoidectomy; otitis media; postoperative complication; priority journal; reoperation; surgical technique; atelectasis; chronic disease; cochlea; computer assisted tomography; middle aged; otitis media; perception deafness; radiography, Aged; Atelectasis; Chronic Disease; Cochlea; Cochlear Implantation; Cochlear Implants; Female; Follow-Up Studies; Hearing Loss, Sensorineural; Humans; Male; Middle Aged; Otitis Media; Tomography, X-Ray Computed
DOI:
10.1097/MAO.0b013e31816a8986
