Cochlear implantation in chronic otitis media with and without cholesteatoma: Surgical considerations and auditory outcomes

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dc.authorid0000-0002-3887-4569
dc.contributor.authorGülhan Yaşar, Nagihan
dc.contributor.authorKaramert, Recep
dc.contributor.authorTutar, Hakan
dc.contributor.authorUğur, Mehmet Birol
dc.contributor.authorHazır, Burak
dc.contributor.authorBayazıt, Yıldırım Ahmet
dc.date.accessioned2021-10-11T08:35:22Z
dc.date.available2021-10-11T08:35:22Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractIntroduction: Cochlear implant (CI) surgery is a safe and standardized procedure in the presence of normal temporal bone anatomy. However, in the surgery of patients with chronic otitis media (COM), the surgeon may encounter several problems. The aim of this study was to evaluate the impact of COM with and without cholesteatoma on surgical and auditory outcomes of CIs. Methods: The study group consisted of 39 patients with COM who received CIs. Age- and gender-matched 38 standard CI patients served as controls. The surgical techniques and complications, pure tone audiometry (PTA) scores, speech discrimination scores (SDS), and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire results of the groups were compared. Results: The presence of COM was associated with a higher rate of complication than controls. Staging the surgeries, presence or absence of cholesteatoma, and type of surgical technique were not associated with surgical outcomes and complications (p > 0.05). There was no significant difference between the groups in terms of postoperative PTA scores, SDS, and IOI-HA scores (p > 0.05). Conclusion: Postoperative complications like device failure and skin breakdown are increased in cases of COM compared to standard CI surgeries. However, that increase is not associated with staging the surgeries, presence or absence of cholesteatoma, and type of ear surgery performed. It is advocated to close the external ear canal and eustachian tube without mastoid obliteration in the presence of a radical mastoidectomy cavity, which will decrease the postoperative complication rates and allow for radiological follow-up with computed tomography for the possibility of cholesteatoma recurrence. The auditory benefits of CI in patients with and without COM are comparable.
dc.identifier.citationGülhan Yaşar, N., Karamert, R., Tutar, H., Uğur, M. B., Hazır, B. ve Bayazıt, Y. A. (2021). Cochlear implantation in chronic otitis media with and without cholesteatoma: Surgical considerations and auditory outcomes. ORL-Journal for Oto-Rhino-Laryngology Head and Neck Surgery, 83(4), 280-285. https://dx.doi.org/10.1159/000513890
dc.identifier.doi10.1159/000513890
dc.identifier.endpage285
dc.identifier.issn0301-1569
dc.identifier.issn1423-0275
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage280
dc.identifier.urihttps://dx.doi.org/10.1159/000513890
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8411
dc.identifier.volume83
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofORL-Journal for Oto-Rhino-Laryngology Head and Neck Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCochlear Implant
dc.subjectChronic Otitis Media
dc.subjectCholesteatoma
dc.titleCochlear implantation in chronic otitis media with and without cholesteatoma: Surgical considerations and auditory outcomes
dc.typeArticle

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