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Cochlear Implant Surgery in the Chronic Draining Ear
Author(s) -
Marzo Sam J.,
Leonetti John P.,
Hughes Timothy J.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20418
Subject(s) - presentation (obstetrics) , citation , section (typography) , library science , cochlear implant , medicine , art , surgery , computer science , audiology , operating system
Cochlear implantation has been proven to be a reliable aural rehabilitation treatment option for bilaterally, profoundly deaf patients. Most patients evaluated for cochlear implant have a normal, disease free middle ear. Individuals with this common presentation are implanted with a single staged operation. Profound deafness can be caused by chronic suppurative otitis media (CSOM). These patients present the otolaryngologist with a more complex treatment dilemma, the opportunity for postoperative complications and device failure. It was previously thought that cochlear implantation was contraindicated in an ear with CSOM and/or cholesteatoma. Feared complications include recurrence of middle ear/mastoid disease, device extrusion, and intracranial complications (i.e. meningitis). Despite the assumed risks with implanting patients with chronic ear disease, cochlear implants have been successfully placed in this population. The success of this procedure is dependent on the establishment of a disease free ear.