Cochlear implantation and management of chronic suppurative otitis media: single stage procedure?

Basavaraj, Sreeshyla; Shanks, Mary; Sivaji, N.; Allen, Agnes

doi:10.1007/s00405-004-0907-9

Cited by 31 publications

(42 citation statements)

References 16 publications

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“…• Presença de colesteatoma remanescente ou até iatrogênico, por inclusão de detritos epiteliais (Gray et al, 1999;El-Kashlan, Telian, 2004;Kim et al, 2004;Basavaraj et al, 2005;Olgun et al, 2005;Hellingman, Dunnebier, 2009;Kojima et al, 2010).…”

Section: Discussionunclassified

“…Assim, há risco de labirintite e infecção intracraniana nestes pacientes, pois a cóclea comunica-se com o espaço subaracnoide cerebral por meio do aqueduto coclear (Axon et al, 1997;Hamzavi et al, 2001;Ku et al, 2004;El-Kashlan e Telian, 2004;Kim et al, 2004;Incesulu et al, 2004;Basavaraj et al, 2005;Olgun et al, 2005;Leung, Briggs, 2007;Hellingman, Dunnebier, 2009;Postelmans et al, 2009;Kojima et al, 2010).…”

Section: Implante Coclear E Otite Média Crônica Supurativaunclassified

“…A formação de biofilme é importante porque este modo de crescimento está associado à cronicidade das infecções subsequentes e com a sua resistência inerente à terapia antibiótica (Stewart, Costerton 2001). Apesar disso, o IC é a única maneira de reabilitar auditivamente pacientes que apresentam surdez sensorioneural severa a profunda, para os quais o aparelho de amplificação sonora não traz mais ganho (Ku et al, 2004;Basavaraj et al, 2005;Hellingman, Dunnebier, 2009;Kojima et al, 2010).…”

Section: Implante Coclear E Otite Média Crônica Supurativaunclassified

“…O manejo dos pacientes com OMC pode requerer extração de gordura abdominal, confecção de retalho pediculado de músculo temporal, aplicação de pó de osso, cimento de hidroxiapatita ou de fosfato tricálcio, para que a cavidade mastóidea possa ser obliterada, completa ou parcialmente, no mesmo tempo cirúrgico da implantação (Axon et al, 1997;Bendet et al, 1998;Hamzavi et al, 2001;Kim et al, 2004;Incesulu et al, 2004;Basavaraj et al, 2005;Olgun et al, 2005;Leung, Briggs, 2007;Postelmans et al, 2009;Kojima et al, 2010;Husseini et al, 2011), ou como primeira etapa. Posteriormente, o IC pode ser realizado como um procedimento de segunda fase, 3-6 meses após a cirurgia de obliteração (Axon et al, 1997;Bendet et al, 1998;Issing et al, 1998;Kim et al, 2004;Jenkins, Woodson, 2005;Olgun et al, 2005;Leung, Briggs, 2007;Postelmans et al, 2009;Kojima et al, 2010) ou até em 1 ano (Kim et al, 2004;Incesulu et al, 2004).…”

Section: Implante Coclear E Otite Média Crônica Supurativaunclassified

“…Basavaraj et al, 2005;Olgun et al, 2005;Leung, Briggs, 2007;Hellingman, Dunnebier, 2009;Postelmans et al, 2009;Kojima et al, 2010).…”

Section: Descriptorsmentioning

confidence: 99%

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Referências anatômicas ao giro basal da cóclea no assoalho da fossa craniana média para o implante coclear

Bittencourt¹

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Section: Discussionunclassified

Section: Implante Coclear E Otite Média Crônica Supurativaunclassified

“…Basavaraj et al, 2005;Olgun et al, 2005;Leung, Briggs, 2007;Hellingman, Dunnebier, 2009;Postelmans et al, 2009;Kojima et al, 2010).…”

Section: Descriptorsmentioning

confidence: 99%

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Referências anatômicas ao giro basal da cóclea no assoalho da fossa craniana média para o implante coclear

Bittencourt¹

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Subtotal Petrosectomy and Cochlear Implantation

Yan

Reddy

Isaac

et al. 2021

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Subtotal petrosectomy (STP) has been more frequently performed to prepare ears with unfavorable conditions for cochlear implantation.OBJECTIVES To provide an overview of indications for and complications of STP and cochlear implantation and to compare outcomes between single vs multistage procedures and between pediatric vs adult populations.DATA SOURCES A search of PubMed, Scopus, Ovid, and the Cochrane Library was performed from the databases' inception to January 23, 2020, for studies evaluating STP for cochlear implantation.STUDY SELECTION Studies with a minimum follow-up of 3 months and no missing data regarding postoperative outcomes were included. Of the initial 570 studies identified, 27 (4.7%) met selection criteria. DATA EXTRACTION AND SYNTHESISTwo reviewers independently assessed study eligibility according to Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines; discrepancies were resolved by a third reviewer. Extracted data included patient demographics, indications for STP, rates of complications, and cholesteatoma recidivism when applicable. Data were pooled using a random-or a fixed-effects model when appropriate. MAIN OUTCOMES AND MEASURESThe primary study outcome was rate of global complications stratified by patient-and surgery-level characteristics. RESULTSTwenty-seven unique studies with 377 unique patients (54.2% male; mean age, 50.6 [range, 1-99] years) undergoing 397 STP procedures and cochlear implantation were included. Of these procedures, 299 of 394 cases with the information reported (75.9%) were single procedures and 95 (24.1%) were multistage procedures. Of the total 397 STP procedures, most common indications included chronic otitis media (220 cases [55.4%]), previous open mastoid cavity (141 [35.5%]), cholesteatoma (74 [18.6%]), and cochlear ossification (29 [7.3%]). The overall complication rate was 12.4% (95% CI, 9.4%-15.9%); overall cholesteatoma recidivism rate was 9.3% (95% CI, 4.3%-17.1%). Complication rates did not significantly differ based on stage or age of patients. Cases with cholesteatoma more often underwent multistage vs single-stage procedures (23 of 54 [42.6%] vs 35 of 174 [20.1%]).CONCLUSIONS AND RELEVANCE Across all age groups, STP has been shown to be an effective surgical operation in preparing an ear with unfavorable conditions for cochlear implantation. The potential indications for which cochlear implantation can be performed have expanded with the use of STP. Presence of cholesteatoma might indicate that a multistage procedure should be performed. Lastly, with complication rates comparable to those in adult patients, STP can be considered in children requiring cochlear implantation to minimize ear-related issues and allow benefit from cochlear implantation.

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

Hellingman

Dunnebier

2008

Eur Arch Otorhinolaryngol

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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.

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Cochlear implantation and management of chronic suppurative otitis media: single stage procedure?

Cited by 31 publications

References 16 publications

Referências anatômicas ao giro basal da cóclea no assoalho da fossa craniana média para o implante coclear

Referências anatômicas ao giro basal da cóclea no assoalho da fossa craniana média para o implante coclear

Subtotal Petrosectomy and Cochlear Implantation

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

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