@article{discovery174456,
         journal = {Journal of Laryngology and Otology},
       publisher = {HEADLEY BROTHERS LTD},
          volume = {111},
            note = {Copyright Cambridge University Press 1997},
           pages = {228 -- 232},
           title = {Cochlear implantation in the presence of chronic suppurative otitis media},
          number = {3},
            year = {1997},
           month = {March},
          author = {Axon, PR and Mawman, DJ and Upile, T and Ramsden, RT},
            issn = {0022-2151},
             url = {http://dx.doi.org/10.1017/S0022215100136977},
        keywords = {Cochlear implant, Otitis media, Chronic suppurative},
        abstract = {Nine patients are presented who underwent cochlear implantation ih the presence of chronic suppurative otitis media. Four had a simple tympanic membrane perforation, four had a pre-existing mastoid cavity and one had cholesteatoma in the ear chosen for implantation. Patients with a simple perforation had a staged procedure with myringoplasty followed by cochlear implantation after an interval of three months. Patients with cholesteatoma or with an unstable mastoid cavity were also staged. A mastoidectomy or revision mastoidectomy was performed with obliteration of the middle ear and mastoid using a superiorly pedicled temporalis muscle flap and blind sac closure of the external meatal skin. After a further six months a second stage procedure was performed to confirm that the middle-ear cleft was healthy and to insert the implant. Patients presenting with a stable mastoid cavity underwent obliteration of the cavity and implantation of the electrode as a one-staged procedure. To date there have been no serious problems such as graft breakdown, recurrence of disease or implant extrusion, and all patients are performing well.}
}