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Otitis media in children with cochlear implants

M Luntz1, A V Hodges, T Balkany

  • 1University of Miami Ear Institute, Department of Otolaryngology--Head and Neck Surgery, University of Miami, FL 33156, USA.

The Laryngoscope
|November 1, 1996
PubMed
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Cochlear implants did not increase acute otitis media (AOM) in children. Post-implantation AOM incidence and severity decreased, with successful oral antibiotic treatment. History of AOM should not delay cochlear implant surgery.

Area of Science:

  • Pediatric Otolaryngology
  • Audiology
  • Infectious Disease

Background:

  • Recurrent acute otitis media (AOM) is a common pediatric condition.
  • Cochlear implantation is a crucial intervention for hearing loss in children.
  • Concerns exist regarding the potential impact of cochlear implants on middle ear infections.

Purpose of the Study:

  • To evaluate the incidence and severity of AOM in children following cochlear implantation.
  • To determine if cochlear implantation exacerbates or improves AOM in pediatric patients.
  • To assess the need for further intervention for AOM post-implantation.

Main Methods:

  • Retrospective study of 50 children who received cochlear implants between 1991-1995.
  • Analysis of AOM incidence before and after cochlear implantation.

Related Experiment Videos

  • Evaluation of AOM in a subgroup of children who previously required ventilating tubes.

    • Main Results:

    • 74% of children had AOM before implantation; 16% had AOM after implantation.
    • All post-implantation AOM cases had a prior history of AOM.
    • AOM incidence and severity decreased post-implantation; all cases treated successfully with oral antibiotics.

    Conclusions:

    • Cochlear implantation is safe regarding AOM incidence and severity.
    • Pediatric cochlear implant recipients experienced a reduction in AOM post-surgery.
    • A history of recurrent AOM should not be a contraindication for timely cochlear implantation.