Surgical considerations and safety of cochlear implantation in otitis media with effusion

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dc.authorid0000-0002-3887-4569
dc.contributor.authorCevizci, Raşit
dc.contributor.authorDilci, Alper
dc.contributor.authorÇelenk, Fatih
dc.contributor.authorKaramert, Recep
dc.contributor.authorBayazıt, Yıldırım
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:35Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:35Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000430035900005
dc.descriptionPubMed ID: 28756095
dc.description.abstractObjective: To evaluate the effects of otitis media with effusion on surgical parameters, patient safety, perioperative and postoperative complications. Methods: Total 890 children who underwent cochlear implantation between 2006 and 2015 were included. The ages ranged from 12 months to 63 months (mean: 32 months). The patients were divided into two groups according to the presence or absence of otitis media with effusion; otitis media with effusion group and non-otitis media group. Results: Of 890 children, 105 had otitis media with effusion prior to surgery. In non-otitis media with group, there were 785 children. The average duration of surgery was 60 min (ranged from 28 to 75 min) in non-otitis media group, and 90 min (ranged from 50 to 135 min) in otitis media with effusion group (p <0.05). Granulation tissue and edematous middle ear and mastoid mucosa were observed in all cases of otitis media with effusion during the surgery. There was no significant difference between the complications of groups with or without otitis media with effusion (p> 0.05). In 5 of 105 patients, there was a ventilation tube inserted before cochlear implantation, which did not change the outcome of implantation. Conclusion: There is no need for surgical treatment for otitis media with effusion before implantation since otitis media with effusion does not increase the risks associated with cochlear implantation. Operation duration is longer in the presence of otitis media with effusion. However, otitis media with effusion leads to intraoperative difficulties like longer operation duration, bleeding, visualization of the round window membrane, cleansing the middle ear granulations as well as mastoid and petrous air cells.
dc.identifier.citationCevizci, R., Dilci, A., Çelenk, F., Karamert, R. ve Bayazıt, Y. (2018). Surgical considerations and safety of cochlear implantation in otitis media with effusion. Auris Nasus Larynx, 45(3), 417-420. https://dx.doi.org/10.1016/j.anl.2017.07.012
dc.identifier.doi10.1016/j.anl.2017.07.012
dc.identifier.endpage420
dc.identifier.issn0385-8146
dc.identifier.issn1879-1476
dc.identifier.issue3
dc.identifier.scopusqualityQ2
dc.identifier.startpage417
dc.identifier.urihttps://dx.doi.org/10.1016/j.anl.2017.07.012
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2025
dc.identifier.volume45
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Ltd
dc.relation.ispartofAuris Nasus Larynxen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCochlear Implant
dc.subjectOtitis Media
dc.subjectEffusion
dc.subjectSurgical Consideration
dc.subjectSafety
dc.titleSurgical considerations and safety of cochlear implantation in otitis media with effusion
dc.typeArticle

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