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Related Experiment Videos

Ventilation tubes and cochlear implants: what do we do?

Richard J Kennedy1, Clough Shelton

  • 1Division of Otolaryngology, University of Utah, Salt Lake City, Utah 84132, USA.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|May 14, 2005
PubMed
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Current practices for managing ventilation tubes in cochlear implant patients show wide variation. It is safe to implant cochlear devices with ventilation tubes in place, even in otitis-prone children, with low complication rates.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Pediatric Otology

Background:

  • Management of ventilation tubes in patients undergoing cochlear implantation varies significantly.
  • Serous otitis media and otitis-prone conditions present unique challenges in this population.

Purpose of the Study:

  • To determine current practice patterns regarding ventilation tubes and cochlear implants.
  • To assess surgeon approaches to managing middle ear conditions during cochlear implantation.

Main Methods:

  • A questionnaire was distributed to all members of the American Neurotology Society.
  • Surgeons reported on their management of ventilation tubes before and during cochlear implantation, and in otitis-prone children.

Main Results:

Related Experiment Videos

  • A wide variation in practice was observed among 220 respondents.
  • 56% of surgeons implant cochlear devices with ventilation tubes in place; over half stage procedures for serous otitis media.
  • Complications attributed to ventilation tubes were reported by only 5% of surgeons.

Conclusions:

  • Significant practice variation exists in managing ventilation tubes with cochlear implants.
  • Cochlear implantation in patients with clean, dry ventilation tubes is acceptable.
  • Ventilation tube placement in otitis-prone children with cochlear implants is also acceptable, with low reported complications.