The safety of posterior tympanotomy in otitis media with effusion during cochlear implantation: clinical retrospective cohort study

Posterior tympanotomy (PT) is an important step in cochlear implant (CI) surgery, as it is the main access to the round window. Some CI candidates, especially children, may have concomitant otitis media with effusion (OME) which may result in technical issues during PT. There is still a debate wheth...

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Bibliographic Details
Published in:Acta oto-laryngologica 2021-01, Vol.141 (1), p.1-4
Main Authors: Elzayat, Saad, Nada, Ihab, El sherif, Hossam, Mahrous, Ali
Format: Article
Language:English
Subjects:
Child, Preschool
Cochlear implantation
Cochlear Implantation - methods
Cochlear Implants
Female
Follow-Up Studies
Humans
Infant
intra-operative difficulties
Intraoperative Period
Male
OME
Otitis Media with Effusion - diagnosis
Otitis Media with Effusion - surgery
posterior tympanotomy
Postoperative Period
Retrospective Studies
Tomography, X-Ray Computed
Tympanic Membrane - diagnostic imaging
Tympanic Membrane - surgery
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Summary:Posterior tympanotomy (PT) is an important step in cochlear implant (CI) surgery, as it is the main access to the round window. Some CI candidates, especially children, may have concomitant otitis media with effusion (OME) which may result in technical issues during PT. There is still a debate whether to wait for OME resolution preoperatively or to proceed to surgery with suspected difficulties. To evaluate the safety of PT during CI surgery in patients with OME. we included 102 consecutive pediatric candidates in this retrospective study with an age range of 12 months to 6 years. All the patients underwent CI surgery using trans-mastoid, PT to access round window (RW) area. We investigated the effect of the pathology caused by OME on the operative procedure in PT and post-operative consequences. out of 102 patients included in this study, there were 22 patients with OME who had unilateral cochlear implantation with no major operative or post-operative events. Nevertheless, some minor intra operative events and difficulties were encountered. The presence of OME in CI surgery indicates possible surgical challenges such as difficult PT, minor intra-operative risks and with no major post-operative events.
ISSN:0001-6489
1651-2251
DOI:10.1080/00016489.2020.1813905