eprintid: 174456 rev_number: 175 eprint_status: archive userid: 608 dir: disk0/00/17/44/56 datestamp: 2010-11-04 07:32:14 lastmod: 2020-05-31 08:34:30 status_changed: 2012-10-16 12:00:08 type: article metadata_visibility: show item_issues_count: 0 creators_name: Axon, PR creators_name: Mawman, DJ creators_name: Upile, T creators_name: Ramsden, RT title: Cochlear implantation in the presence of chronic suppurative otitis media ispublished: pub divisions: UCL keywords: Cochlear implant, Otitis media, Chronic suppurative note: Copyright Cambridge University Press 1997 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. date: 1997-03 publisher: HEADLEY BROTHERS LTD official_url: http://dx.doi.org/10.1017/S0022215100136977 oa_status: green language: eng primo: open primo_central: open_green article_type_text: Article verified: verified_batch elements_source: Web of Science elements_id: 178935 doi: 10.1017/S0022215100136977 language_elements: EN lyricists_name: UPILE, TAHWINDER lyricists_id: TUPIL20 full_text_status: public publication: Journal of Laryngology and Otology volume: 111 number: 3 pagerange: 228 - 232 issn: 0022-2151 citation: Axon, PR; Mawman, DJ; Upile, T; Ramsden, RT; (1997) Cochlear implantation in the presence of chronic suppurative otitis media. Journal of Laryngology and Otology , 111 (3) 228 - 232. 10.1017/S0022215100136977 <https://doi.org/10.1017/S0022215100136977>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/174456/1/S0022215100136977.pdf