Cochlear Implantation in Deaf Children with Coexisting Otitis Media with Effusion: A comparative study
Cochlear implantation (CI) is a definitive treatment for profound hearing loss in children and adults. Operating on an infected ear is considered a challenge. Hence, CI in the presence of otitis media with effusion (OME) prior to CI surgery has sparked a debate among neurotologists: treat the OME fi...
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| Veröffentlicht in: | Sultan Qaboos University medical journal 2023-05, Vol.23 (2), p.168-173 |
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| creator | Al Habsi, Sami Al Zaabi, Khalid Al Lawati, Ammar |
| description | Cochlear implantation (CI) is a definitive treatment for profound hearing loss in children and adults. Operating on an infected ear is considered a challenge. Hence, CI in the presence of otitis media with effusion (OME) prior to CI surgery has sparked a debate among neurotologists: treat the OME first or go ahead with surgical intervention. This study was conducted to determine whether CI in patients with OME at the time of the surgery has any influence on the surgery procedure, post-operative complications and surgical outcome.
A retrospective descriptive analysis of data collected from records of patients who underwent CI surgery in Al Nahdha Hospital, Muscat, Oman, from 2000 to 2018 was conducted. The targeted age group was six months to 14 years old, excluding all adults and patients whose operations were done outside the chosen institution.
Out of 369 children, 175 had OME preceding surgery compared to 194 who did not have OME. Intraoperative oedematous hypertrophied middle ear mucosa was observed only in patients with OME (n = 18; |
| doi_str_mv | 10.18295/squmj.6.2022.044 |
| format | Article |
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A retrospective descriptive analysis of data collected from records of patients who underwent CI surgery in Al Nahdha Hospital, Muscat, Oman, from 2000 to 2018 was conducted. The targeted age group was six months to 14 years old, excluding all adults and patients whose operations were done outside the chosen institution.
Out of 369 children, 175 had OME preceding surgery compared to 194 who did not have OME. Intraoperative oedematous hypertrophied middle ear mucosa was observed only in patients with OME (n = 18;
<0.050). Moreover, among the patients with OME, mild intraoperative bleeding occurred in six cases compared to only one case in the non-OME group (
<0.050). Overall, no significant difference was observed in postoperative surgical complications between the two groups (
>0.050).
The presence of OME is associated with intraoperative technical difficulties, such as impaired visualisation and bleeding. However, OME is not determinative in performing CI in terms of postoperative complications and outcome. Therefore, there is no need to delay CI until the OME resolves.</description><identifier>ISSN: 2075-051X</identifier><identifier>EISSN: 2075-0528</identifier><identifier>DOI: 10.18295/squmj.6.2022.044</identifier><identifier>PMID: 37377835</identifier><language>eng</language><publisher>Oman: Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</publisher><subject>Child ; Clinical & Basic Research ; Cochlear Implantation - methods ; Edema ; Humans ; Otitis Media with Effusion - complications ; Otitis Media with Effusion - surgery ; Postoperative Complications - epidemiology ; Postoperative Complications - surgery ; Retrospective Studies</subject><ispartof>Sultan Qaboos University medical journal, 2023-05, Vol.23 (2), p.168-173</ispartof><rights>Copyright 2023, Sultan Qaboos University Medical Journal, All Rights Reserved.</rights><rights>Copyright 2023, Sultan Qaboos University Medical Journal, All Rights Reserved 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10292599/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10292599/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37377835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al Habsi, Sami</creatorcontrib><creatorcontrib>Al Zaabi, Khalid</creatorcontrib><creatorcontrib>Al Lawati, Ammar</creatorcontrib><title>Cochlear Implantation in Deaf Children with Coexisting Otitis Media with Effusion: A comparative study</title><title>Sultan Qaboos University medical journal</title><addtitle>Sultan Qaboos Univ Med J</addtitle><description>Cochlear implantation (CI) is a definitive treatment for profound hearing loss in children and adults. Operating on an infected ear is considered a challenge. Hence, CI in the presence of otitis media with effusion (OME) prior to CI surgery has sparked a debate among neurotologists: treat the OME first or go ahead with surgical intervention. This study was conducted to determine whether CI in patients with OME at the time of the surgery has any influence on the surgery procedure, post-operative complications and surgical outcome.
A retrospective descriptive analysis of data collected from records of patients who underwent CI surgery in Al Nahdha Hospital, Muscat, Oman, from 2000 to 2018 was conducted. The targeted age group was six months to 14 years old, excluding all adults and patients whose operations were done outside the chosen institution.
Out of 369 children, 175 had OME preceding surgery compared to 194 who did not have OME. Intraoperative oedematous hypertrophied middle ear mucosa was observed only in patients with OME (n = 18;
<0.050). Moreover, among the patients with OME, mild intraoperative bleeding occurred in six cases compared to only one case in the non-OME group (
<0.050). Overall, no significant difference was observed in postoperative surgical complications between the two groups (
>0.050).
The presence of OME is associated with intraoperative technical difficulties, such as impaired visualisation and bleeding. However, OME is not determinative in performing CI in terms of postoperative complications and outcome. Therefore, there is no need to delay CI until the OME resolves.</description><subject>Child</subject><subject>Clinical & Basic Research</subject><subject>Cochlear Implantation - methods</subject><subject>Edema</subject><subject>Humans</subject><subject>Otitis Media with Effusion - complications</subject><subject>Otitis Media with Effusion - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - surgery</subject><subject>Retrospective Studies</subject><issn>2075-051X</issn><issn>2075-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkMtOwzAQRS0EolXpB7BBXrJJ8COxHTaoCgUqFXUDErvI2E7jKq_GTqF_T6SWCmYzI92ZczUXgGuMQixIEt-5bV9tQhYSREiIougMjAnicYBiIs5PM_4YgalzGzQUFZzh-BKMKKecCxqPQZ42qiiN7OCiaktZe-ltU0Nbw0cjc5gWttSdqeGX9QVMG_Ntnbf1Gq689dbBV6OtPIjzPO_dcHsPZ1A1VSu7AbUz0Ple76_ARS5LZ6bHPgHvT_O39CVYrp4X6WwZtMNPPog0iSShjEQUo0RpIrCQXAuBYs0xkzqRQmBqaIRzRBASkeCIK84UF0piTSfg4cBt-8_KaGVq38kyaztbyW6fNdJm_5XaFtm62WUYkYTESTIQbo-Ertn2xvmssk6ZcsjGNL3LiKCIMcFwNKze_DU7ufymS38AF69-rg</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Al Habsi, Sami</creator><creator>Al Zaabi, Khalid</creator><creator>Al Lawati, Ammar</creator><general>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202305</creationdate><title>Cochlear Implantation in Deaf Children with Coexisting Otitis Media with Effusion: A comparative study</title><author>Al Habsi, Sami ; Al Zaabi, Khalid ; Al Lawati, Ammar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p182t-4d24a236243109cd2818a7d8805d716ad9a8813e341f0200848707c76c78ca1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Clinical & Basic Research</topic><topic>Cochlear Implantation - methods</topic><topic>Edema</topic><topic>Humans</topic><topic>Otitis Media with Effusion - complications</topic><topic>Otitis Media with Effusion - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - surgery</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al Habsi, Sami</creatorcontrib><creatorcontrib>Al Zaabi, Khalid</creatorcontrib><creatorcontrib>Al Lawati, Ammar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sultan Qaboos University medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al Habsi, Sami</au><au>Al Zaabi, Khalid</au><au>Al Lawati, Ammar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cochlear Implantation in Deaf Children with Coexisting Otitis Media with Effusion: A comparative study</atitle><jtitle>Sultan Qaboos University medical journal</jtitle><addtitle>Sultan Qaboos Univ Med J</addtitle><date>2023-05</date><risdate>2023</risdate><volume>23</volume><issue>2</issue><spage>168</spage><epage>173</epage><pages>168-173</pages><issn>2075-051X</issn><eissn>2075-0528</eissn><abstract>Cochlear implantation (CI) is a definitive treatment for profound hearing loss in children and adults. Operating on an infected ear is considered a challenge. Hence, CI in the presence of otitis media with effusion (OME) prior to CI surgery has sparked a debate among neurotologists: treat the OME first or go ahead with surgical intervention. This study was conducted to determine whether CI in patients with OME at the time of the surgery has any influence on the surgery procedure, post-operative complications and surgical outcome.
A retrospective descriptive analysis of data collected from records of patients who underwent CI surgery in Al Nahdha Hospital, Muscat, Oman, from 2000 to 2018 was conducted. The targeted age group was six months to 14 years old, excluding all adults and patients whose operations were done outside the chosen institution.
Out of 369 children, 175 had OME preceding surgery compared to 194 who did not have OME. Intraoperative oedematous hypertrophied middle ear mucosa was observed only in patients with OME (n = 18;
<0.050). Moreover, among the patients with OME, mild intraoperative bleeding occurred in six cases compared to only one case in the non-OME group (
<0.050). Overall, no significant difference was observed in postoperative surgical complications between the two groups (
>0.050).
The presence of OME is associated with intraoperative technical difficulties, such as impaired visualisation and bleeding. However, OME is not determinative in performing CI in terms of postoperative complications and outcome. Therefore, there is no need to delay CI until the OME resolves.</abstract><cop>Oman</cop><pub>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</pub><pmid>37377835</pmid><doi>10.18295/squmj.6.2022.044</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Sultan Qaboos University medical journal, 2023-05, Vol.23 (2), p.168-173 |
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| source | MEDLINE; PubMed Central |
| subjects | Child Clinical & Basic Research Cochlear Implantation - methods Edema Humans Otitis Media with Effusion - complications Otitis Media with Effusion - surgery Postoperative Complications - epidemiology Postoperative Complications - surgery Retrospective Studies |
| title | Cochlear Implantation in Deaf Children with Coexisting Otitis Media with Effusion: A comparative study |
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