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Evaluation of cochlear implantation effects on middle ear pressure

Yıl 2020, Cilt: 30 Sayı: 1, 14 - 18, 20.03.2020

Öz

Objectives: This study aims to investigate the effects of cochlear implantation on middle ear aeration, tympanometric values, and otitis media with effusion OME occurrence. Patients and Methods: This prospective study conducted between February 2010 and May 2013 included 100 ears of 100 patients 57 males, 43 females; mean age 6.4±2.8 years; range, 1 to 18 years who underwent cochlear implantation and had no prior history of ear surgery. Patients who had middle and/or external ear anomalies were excluded. During the preoperative evaluation, otoscopic, rhinoscopic and nasopharynx examinations, along with tympanometric investigations were performed. Postoperative tympanometric evaluations over 12-36 months’ follow-up were performed and the values were compared, respectively. Results: In the postoperative otoscopic examinations, tympanic membrane retraction was observed in 14 ears. The mean values of compliance and gradient were significantly lower in the postoperative evaluations. The peak pressure and external ear canal volume measurements were not significantly different after cochlear implantation surgery. The mean preoperative value of peak pressure of the male patients was significantly lower than that in the female patients. The mean preoperative value of external ear canal volume was lower in patients with adenoid hypertrophy. These differences were statistically significant p<0.05 . Conclusion: The values of compliance and gradient were lower in postoperative tympanograms. Nevertheless, this does not mean that patients with low compliance and gradient values are more likely to develop OME or acute otitis media. Males and patients with adenoid hypertrophy also have a predisposition to OME.

Kaynakça

  • Gates GA, Klein JO, Lim DJ, Mogi G, Ogra PL, Pararella MM, Paradise JL, Tos M. Recent advances in otitis media. 1. Definitions, terminology, and classification of otitis media. Ann Otol Rhinol Laryngol Suppl 2002;188:8-18.
  • Morinière S, Soin C, Lescanne E, Ployet MJ. Epidemiology of otitis media with effusion. Rev Prat 1998;48:838-42. [Abstract]
  • Clark GM, Pyman BC, Bailey QR. The surgery for multiple-electrode cochlear implantations. J Laryngol Otol 1979;93:215-23.
  • Newberg LB. Mastoidectomy for chronic serous otitis media. J Laryngol Otol 1981;95:333-9.
  • Sadé J, Luntz M, Levy D. Middle ear gas composition and middle ear aeration. Ann Otol Rhinol Laryngol 1995;104:369-73.
  • Migirov L, Amir A, Kronenberg J. The influence of mastoidectomy on natural history of secretory otitis media in cochlear implant children. ORL J Otorhinolaryngol Relat Spec 2006;68:156-8.
  • Papsin BC, Bailey CM, Albert DM, Bellman SC. Otitis media with effusion in paediatric cochlear implantees: the role of peri-implant grommet insertion. Int J Pediatr Otorhinolaryngol 1996;38:13-9.
  • Cohen NL, Hoffman RA. Surgical complications of multichannel cochlear implants in North America. Adv Otorhinolaryngol 1993;48:70-4.
  • Hoberg S, Danstrup C, Laursen B, Petersen NK, Udholm N, Kamarauskas GA, et al. Characteristics of CI children with complicated middle ear infections. Cochlear Implants Int 2017;18:136-42.
  • Raveh E, Ulanovski D, Attias J, Shkedy Y, Sokolov M. Acute mastoiditis in children with a cochlear implant. Int J Pediatr Otorhinolaryngol 2016;81:80-3.
  • Googe BJ, Carron JD. Analyzing complications of minimally invasive pediatric cochlear implantation: A review of 248 implantations. Am J Otolaryngol 2016;37:44-50.
  • Görür K, Ozcan C, Talas DU. The computed tomographical and tympanometrical evaluation of mastoid pneumatization and attic blockage in patients with chronic otitis media with effusion. Int J Pediatr Otorhinolaryngol 2006;70:481-5.
  • Hassmann-Poznańska E, Goździewski A, Piszcz M, Zajaczkiewicz H, Skotnicka B. Influence of tympanic membrane changes on immittance and extended frequency audiometric findings. Otolaryngol Pol 2010;64:307-12.
  • Yilmaz I, Cagici CA, Ozluoglu LN, Akkuzu B, Ozgirgin N, Sener M, et al. Effects of various densities of middle ear fluids on acoustic immittance: experimental study. J Otolaryngol Head Neck Surg 2008;37:130-6.
  • Gelfand SA, editor. Essentials of Audiology. New York: Thieme; 2001.
  • Luo Z, Xiao J, Tan Y. Clinical value of negative pressure tympanograms for diagnosis of middle ear effusion in adults. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008;22:731-3.
  • Tos M, Stangerup SE. Secretory otitis and pneumatization of the mastoid process: sexual differences in the size of mastoid cell system. Am J Otolaryngol 1985;6:199-205.
  • Hergils L, Magnuson B. Morning pressure in the middle ear. Arch Otolaryngol 1985;111:86-9.
  • Luntz M, Sadé J. Daily fluctuations of middle ear pressure in atelectatic ears. Ann Otol Rhinol Laryngol 1990;99:201-4.
  • Chen N, Hou Q, Cui Z, Wang L, Zhou S, Li J, et al. Effect of otitis media with effusion and its clinical intervention on the development of mastoid in children. Acta Otolaryngol 2014;134:481-4.
Yıl 2020, Cilt: 30 Sayı: 1, 14 - 18, 20.03.2020

Öz

Kaynakça

  • Gates GA, Klein JO, Lim DJ, Mogi G, Ogra PL, Pararella MM, Paradise JL, Tos M. Recent advances in otitis media. 1. Definitions, terminology, and classification of otitis media. Ann Otol Rhinol Laryngol Suppl 2002;188:8-18.
  • Morinière S, Soin C, Lescanne E, Ployet MJ. Epidemiology of otitis media with effusion. Rev Prat 1998;48:838-42. [Abstract]
  • Clark GM, Pyman BC, Bailey QR. The surgery for multiple-electrode cochlear implantations. J Laryngol Otol 1979;93:215-23.
  • Newberg LB. Mastoidectomy for chronic serous otitis media. J Laryngol Otol 1981;95:333-9.
  • Sadé J, Luntz M, Levy D. Middle ear gas composition and middle ear aeration. Ann Otol Rhinol Laryngol 1995;104:369-73.
  • Migirov L, Amir A, Kronenberg J. The influence of mastoidectomy on natural history of secretory otitis media in cochlear implant children. ORL J Otorhinolaryngol Relat Spec 2006;68:156-8.
  • Papsin BC, Bailey CM, Albert DM, Bellman SC. Otitis media with effusion in paediatric cochlear implantees: the role of peri-implant grommet insertion. Int J Pediatr Otorhinolaryngol 1996;38:13-9.
  • Cohen NL, Hoffman RA. Surgical complications of multichannel cochlear implants in North America. Adv Otorhinolaryngol 1993;48:70-4.
  • Hoberg S, Danstrup C, Laursen B, Petersen NK, Udholm N, Kamarauskas GA, et al. Characteristics of CI children with complicated middle ear infections. Cochlear Implants Int 2017;18:136-42.
  • Raveh E, Ulanovski D, Attias J, Shkedy Y, Sokolov M. Acute mastoiditis in children with a cochlear implant. Int J Pediatr Otorhinolaryngol 2016;81:80-3.
  • Googe BJ, Carron JD. Analyzing complications of minimally invasive pediatric cochlear implantation: A review of 248 implantations. Am J Otolaryngol 2016;37:44-50.
  • Görür K, Ozcan C, Talas DU. The computed tomographical and tympanometrical evaluation of mastoid pneumatization and attic blockage in patients with chronic otitis media with effusion. Int J Pediatr Otorhinolaryngol 2006;70:481-5.
  • Hassmann-Poznańska E, Goździewski A, Piszcz M, Zajaczkiewicz H, Skotnicka B. Influence of tympanic membrane changes on immittance and extended frequency audiometric findings. Otolaryngol Pol 2010;64:307-12.
  • Yilmaz I, Cagici CA, Ozluoglu LN, Akkuzu B, Ozgirgin N, Sener M, et al. Effects of various densities of middle ear fluids on acoustic immittance: experimental study. J Otolaryngol Head Neck Surg 2008;37:130-6.
  • Gelfand SA, editor. Essentials of Audiology. New York: Thieme; 2001.
  • Luo Z, Xiao J, Tan Y. Clinical value of negative pressure tympanograms for diagnosis of middle ear effusion in adults. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008;22:731-3.
  • Tos M, Stangerup SE. Secretory otitis and pneumatization of the mastoid process: sexual differences in the size of mastoid cell system. Am J Otolaryngol 1985;6:199-205.
  • Hergils L, Magnuson B. Morning pressure in the middle ear. Arch Otolaryngol 1985;111:86-9.
  • Luntz M, Sadé J. Daily fluctuations of middle ear pressure in atelectatic ears. Ann Otol Rhinol Laryngol 1990;99:201-4.
  • Chen N, Hou Q, Cui Z, Wang L, Zhou S, Li J, et al. Effect of otitis media with effusion and its clinical intervention on the development of mastoid in children. Acta Otolaryngol 2014;134:481-4.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Şenol Acar Bu kişi benim

Hakan Avcı Bu kişi benim

Mehmet Melih Çiçek Bu kişi benim

Beldan Polat Bu kişi benim

Kadir Serkan Orhan Bu kişi benim

Yayımlanma Tarihi 20 Mart 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 30 Sayı: 1

Kaynak Göster

APA Acar, Ş., Avcı, H., Çiçek, M. M., Polat, B., vd. (2020). Evaluation of cochlear implantation effects on middle ear pressure. The Turkish Journal of Ear Nose and Throat, 30(1), 14-18.
AMA Acar Ş, Avcı H, Çiçek MM, Polat B, Orhan KS. Evaluation of cochlear implantation effects on middle ear pressure. Tr-ENT. Mart 2020;30(1):14-18.
Chicago Acar, Şenol, Hakan Avcı, Mehmet Melih Çiçek, Beldan Polat, ve Kadir Serkan Orhan. “Evaluation of Cochlear Implantation Effects on Middle Ear Pressure”. The Turkish Journal of Ear Nose and Throat 30, sy. 1 (Mart 2020): 14-18.
EndNote Acar Ş, Avcı H, Çiçek MM, Polat B, Orhan KS (01 Mart 2020) Evaluation of cochlear implantation effects on middle ear pressure. The Turkish Journal of Ear Nose and Throat 30 1 14–18.
IEEE Ş. Acar, H. Avcı, M. M. Çiçek, B. Polat, ve K. S. Orhan, “Evaluation of cochlear implantation effects on middle ear pressure”, Tr-ENT, c. 30, sy. 1, ss. 14–18, 2020.
ISNAD Acar, Şenol vd. “Evaluation of Cochlear Implantation Effects on Middle Ear Pressure”. The Turkish Journal of Ear Nose and Throat 30/1 (Mart 2020), 14-18.
JAMA Acar Ş, Avcı H, Çiçek MM, Polat B, Orhan KS. Evaluation of cochlear implantation effects on middle ear pressure. Tr-ENT. 2020;30:14–18.
MLA Acar, Şenol vd. “Evaluation of Cochlear Implantation Effects on Middle Ear Pressure”. The Turkish Journal of Ear Nose and Throat, c. 30, sy. 1, 2020, ss. 14-18.
Vancouver Acar Ş, Avcı H, Çiçek MM, Polat B, Orhan KS. Evaluation of cochlear implantation effects on middle ear pressure. Tr-ENT. 2020;30(1):14-8.