Section: 
Otiology
OtiologyExperience of cochlear implantation in patients with chronic suppurative
otitis media
V. E. Kuzovkov (1), A. S. Lilenko (2), S. B. Sugarova (3), P. A. Luntovskaya (4), P. R. Kharitonova (5), Yu. S. Korneva (6)
(1), (2), (3), (4), (5), (6) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russian Federation
UDK: УДК 616.28-008.14:616.284-002.3:616.283.1-089.843
DOI: https://doi.org/10.18692/1810-4800-2024-6-98-105
ABSTRACT
Abstract. Patients with profound hearing loss and chronic otitis media are promising candidates for cochlear implantation (CI), but they require meticulous attention from the specialists monitoring them. Recently, chronic otitis media was considered as a contraindication for cochlear implantation due to the risk of developing a number of complications. Despite these potential problems, performing CI is the only solution to help patients with chronic otitis media and severe sensorineural hearing loss. There are various methods for managing the abovementioned group of patients. Some authors describe performance of CI with middle ear surgery in one stage, while other authors, in several stages. The issue of cochlear implantation in patients suffering from chronic suppurative otitis media always causes discussion among otosurgeons. Objective. To share the experience of cochlear implantation in patients with chronic suppurative otitis media. Patients and methods. The article analyzes clinical cases of 10 patients with chronic otitis media who underwent middle ear surgery and cochlear implantation. Conclusions. One-stage CI and middle ear surgery can be considered as a technique that allows accelerate auditory and speech rehabilitation of patients with severe sensorineural hearing loss and chronic suppurative otitis media, which is especially important for patients with acquired inner ear pathology and the risk of ossification of the cochlea spiral canal.
Publication date:
17.12.2024
Keywords:
cochlear implantation, chronic suppurative otitis media, tympanoplasty, canal wall-down surgery, severe sensorineural hearing loss
For citation:
Kuzovkov V. E., Lilenko A. S., Sugarova S. B., Luntovskaya P. A., Kharitonova P. R., Korneva Yu. S. Experience of cochlear implantation in patients with chronic suppurative otitis media. Russian Otorhinolaryngology. 2024;23(6):98-105. (In Russ.) https://doi.org/10.18692/1810-4800-2024-6-98-105