Management of otitis media-related diseases in children with a cochlear implant

Yong-Song Lin

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Conclusion. In all, 4 of 19 children with a cochlear implant (CI) with otitis media developed cholesteatoma. The insertion of a CI may interfere with normal mastoid pneumatization, stimulate mucosa as foreign body, or act as a nidus of infection. Regular follow-up is necessary for children with a CI at the prevalent ages of otitis media. Antibiotic treatment is suggested whenever acute otitis media is suspected, to prevent chronic progress of infection, cholesteatoma, or even meningitis. Objective. To evaluate treatment modality and outcomes of otitis media-related diseases in children with a CI. Patients and methods. This was a retrospective case review in a tertiary referral center of Taipei Medical University, Chi Mei Medical Center. All patients had a history of otitis media or related disease in the implanted ear. Treatments included antibiotics, tympanotomy, and tympanomastoidectomy. Results. In all, 19 of 186 children with a CI were identified as having otitis media, and 4 of them as having cholesteatoma. Among the others, 10 were identified as having acute otitis media, 4 as having middle ear effusion, and 1 as having mastoiditis in the implanted ear. Surgery was performed in children with cholesteatoma and mastoiditis. The CIs of three children were eventually explanted to eradicate cholesteatoma.

Original languageEnglish
Pages (from-to)254-260
Number of pages7
JournalActa Oto-Laryngologica
Volume129
Issue number3
DOIs
Publication statusPublished - Mar 2009

Fingerprint

Cochlear Implants
Otitis Media
Cholesteatoma
Mastoiditis
Ear
Anti-Bacterial Agents
Otitis Media with Effusion
Mastoid
Foreign Bodies
Infection
Meningitis
Tertiary Care Centers
Mucous Membrane
Therapeutics

Keywords

  • Cholesteatoma
  • Otitis media
  • Otitis media with effusion
  • Postoperative complications

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Management of otitis media-related diseases in children with a cochlear implant. / Lin, Yong-Song.

In: Acta Oto-Laryngologica, Vol. 129, No. 3, 03.2009, p. 254-260.

Research output: Contribution to journalArticle

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