The Management of Myringotomy Tubes in Pediatric Cochlear Implant Recipients

被引:15
|
作者
Baranano, Christopher F. [1 ]
Sweitzer, Richard S. [1 ]
Mahalaz, Mandy Lutz [1 ]
Alexander, Nathan S. [1 ]
Woolley, Audie L. [1 ]
机构
[1] Univ Alabama Birmingham Med Sch, Dept Surg, Div Otolaryngol Head & Neck Surg, Birmingham, AL USA
关键词
SUPPURATIVE OTITIS-MEDIA; MIDDLE-EAR; OUTCOMES; CHILDREN; OBLITERATION; EFFUSION; REMOVAL;
D O I
10.1001/archoto.2010.80
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To investigate the impact of myringotomy tubes (MTs) on outcomes for pediatric cochlear implant (Cl) recipients. Design: Retrospective case-control chart review. Setting: Tertiary care pediatric hospital. Patients: Sixty-two patients received an MT before CI (mean [SD] age at initial Cl, 3.20 [2.45] years). Seventy-eight ears received CIs and MTs. Intervention: The MTs were removed and allowed to extrude before CI (59% [n = 46]) or kept in place until CI (41% [n=32]). Main Outcome Measures: Otorrhea, persistent tympanic membrane (TM) perforation, and need for additional procedures were recorded. Statistical analysis was performed with the Fisher exact test. Results: Forty cars (51%) required more than 1 set of MIs. Ten ears (22%) in which the MTs were removed before Cl required a separate MT after Cl compared with 6 ears (19%) in which the MTs remained in place until Cl (P=.78). The MTs that were present during CI were either removed with myringoplasty (31% [n =10]) or retained after surgery (69% [n =22]). All TMs in which the tubes were removed before or during CI healed. There were 3 persistent TM perforations that required surgical treatment. There were no cases of meningitis and no removals of CIs because of infection. Conclusions: Myringotomy tubes do not appear to adversely affect the final outcomes of pediatric Cl recipients and can be managed similarly to MTs in other otitis media prone children. They may be left in place in children who continue to experience recurrent acute otitis media or removed in children who no longer need them.
引用
收藏
页码:557 / 560
页数:4
相关论文
共 50 条
  • [1] Infectious Complications and Ventilation Tubes in Pediatric Cochlear Implant Recipients
    Javia, Luv
    Brant, Jason
    Guidi, Jessica
    Rameau, Anais
    Pross, Seth
    Cohn, Samuel
    Kazahaya, Ken
    Dunham, Brian
    Germiller, John
    [J]. LARYNGOSCOPE, 2016, 126 (07): : 1671 - 1676
  • [2] Pediatric cochlear implants and myringotomy tubes: a systematic review
    Patel, Shubham
    Robbins, Alexa
    Tey, Ching Siong
    Zhang, Chao
    Peterson, Shenita
    Govil, Nandini
    [J]. COCHLEAR IMPLANTS INTERNATIONAL, 2023, 24 (04) : 216 - 223
  • [3] Communication skills in pediatric cochlear implant recipients
    Miyamoto, RT
    Kirk, KI
    Svirsky, MA
    Sehgal, ST
    [J]. ACTA OTO-LARYNGOLOGICA, 1999, 119 (02) : 219 - 224
  • [4] Voice analysis in pediatric cochlear implant recipients
    Campisi, P
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2006, 70 (04) : 760 - 760
  • [5] Improving vaccination uptake in pediatric Cochlear implant recipients
    Lisa Jin
    Paula Téllez
    Ruth Chia
    Daphne Lu
    Neil K. Chadha
    Julie Pauwels
    Simon Dobson
    Hazim Al Eid
    Frederick K. Kozak
    [J]. Journal of Otolaryngology - Head & Neck Surgery, 47
  • [6] Alteration of Vestibular Function in Pediatric Cochlear Implant Recipients
    Koyama, Hajime
    Kashio, Akinori
    Fujimoto, Chisato
    Uranaka, Tsukasa
    Matsumoto, Yu
    Kamogashira, Teru
    Kinoshita, Makoto
    Iwasaki, Shinichi
    Yamasoba, Tatsuya
    [J]. FRONTIERS IN NEUROLOGY, 2021, 12
  • [7] The Effects of Preprocessing Strategies for Pediatric Cochlear Implant Recipients
    Rakszawski, Bernadette
    Wright, Rose
    Cadieux, Jamie H.
    Davidson, Lisa S.
    Brenner, Christine
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF AUDIOLOGY, 2016, 27 (02) : 85 - 102
  • [8] A survey of pediatric cochlear implant recipients as young adults
    Ganek, Hillary, V
    Feness, Mary-Lynn
    Goulding, Gina
    Liberman, Gillian M.
    Steel, Morrison M.
    Ruderman, Leanne A.
    Papsin, Blake C.
    Cushing, Sharon L.
    Gordon, Karen A.
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2020, 132
  • [9] Auditory Cognitive Training for Pediatric Cochlear Implant Recipients
    Mishra, Srikanta K.
    Boddupally, Shiva P.
    [J]. EAR AND HEARING, 2018, 39 (01): : 48 - 59
  • [10] Mandarin Melody Recognition by Pediatric Cochlear Implant Recipients
    Hsiao, Feilin
    [J]. JOURNAL OF MUSIC THERAPY, 2008, 45 (04) : 390 - 404