跳至主要内容

Cochlear Implantation in Patients with Eosinophilic Otitis Media

Read  full  paper  at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53464#.VMXptizQrzE

ABSTRACT
It is known that cochlear implantation for deaf patients with eosinophilic otitis media (EOM) is safe and can provide good speech perception. However, the best timing of implant surgery in patients with EOM is not yet known. The aim of this case report is to suggest the appropriate timing of the surgery in EOM patients with deaf. Cochlear implantation was indicated in two patients with EOM. One underwent cochlear implantation in the absence of any ear discharge. In the other case, implant surgery was delayed for three years due to persistent ear discharge. No complications related to implant device or skin flap were observed in either case. The speech recognition score after implantation was good in the first case and poor in the second case. Perioperative complications were manageable even in the patient with persistent ear discharge. However, the delay in implant surgery due to the persistent ear discharge resulted in a poor speech recognition score. Early implantation should be considered even in EOM patients with ear discharge, although the presence of active middle ear inflammation is regarded as one of the contraindications for implantation according to the current Japanese guidelines.
 
Cite this paper
Takahashi, M. , Arai, Y. , Sakuma, N. , Sano, D. , Nishimura, G. , Taguchi, T. , Oridate, N. , Iwasaki, S. and Usami, S. (2015) Cochlear Implantation in Patients with Eosinophilic Otitis Media. International Journal of Otolaryngology and Head & Neck Surgery, 4, 32-37. doi: 10.4236/ijohns.2015.41006.
 
References
[1]Tomioka, S., Kobayashi, T. and Takasaka, T. (1997) Intractable Otitis Media in Patients with Bronchial Asthma (Eosinophilic Ottis Media). In: Sanna, M., Ed., Cholesteatoma and Mastoid Surgery, CICI Edizioni International, Rome, 851-853.
 
[2]Nagamine, H., Iino, Y., Kojima, C., Miyazawa, T. and Iida, T. (2002) Clinical Characteristics of So-Called Eosinophilic Otitis Media. Auris Nasus Larynx, 29, 19-28.
http://dx.doi.org/10.1016/S0385-8146(01)00124-9
 
[3]Nakagawa, T., Matubara, A., Shiratsuchi, H., Kakazu, Y., Nakashima, T., Koike, K., Umezaki, T. and Komune, S. (2006) Intractable Otitis Media with Eosinophils: Importance of Diagnosis and Validity of Treatment for Hearing Preservation. ORL, 68, 118-122. http://dx.doi.org/10.1159/000091215
 
[4]Suzuki, H., Matsutani, S. and Kawase, T. (2004) Epidemiologic Surveillance of “Eosinophilic Otitis Media” in Japan. Otology Japan, 14, 112-117. (In Japanese)
 
[5]Iwasaki, S., Nagura, M. and Mizuta, K. (2006) Cochlear Implantation in a Patient with Eosinophilic Otitis Media. European Archives of Oto-Rhino-Laryngology, 263, 365-369.
http://dx.doi.org/10.1007/s00405-005-1006-2
 
[6]Iino, Y., Matsutani, S., Matsubara, A., Nakagawa, T. and Nonaka, M. (2011) Diagnostic Criteria of Eosinophilic Otitis Media, a Newly Recognized Middle Ear Disease. Auris Nasus Larynx, 38, 456-461.
http://dx.doi.org/10.1016/j.anl.2010.11.016
 
[7]Iino, Y., Usubuchi, H., Kodama, K., Takizawa, K., Kanazawa, T. and Ohta, Y. (2008) Bone Conduction Hearing Level in Patients with Eosinophilic Otitis Media Associated with Bronchial Asthma. Otology Neurotology, 29, 949-952.
http://dx.doi.org/10.1097/MAO.0b013e318185fb0d
 
[8]Iino, Y., Usubuchi, H., Kodama, K., Kanazawa, H., Takizawa, K., Kanazawa, T. and Ohta, Y. (2010) Eoshinophilic Inflammation in the Middle Ear Induces Deterioration of Bone—Conduction Hearing Level in Patients with Eosinophilic Otitis Media. Otology Neurotology, 31, 100-104. http://dx.doi.org/10.1097/MAO.0b013e3181bc3781
 
[9]Matubara, A., Nishizawa, H., Kurose, A., Nakagawa, T., Takahata, J. and Sasaki, A. (2014) An Experimental Study of Inner Ear Injury in an Animal Model of Eosinophilic Otitis Media. Acta Oto-Laryngologica, 134, 227-32.
http://dx.doi.org/10.3109/00016489.2013.859395
 
[10]Himi, T., Harabuchi, Y., Shintani, T., Yamaguchi, T., Yoshida, I. and Kataura, A. (1997) Surgical Strategy of Cochlear Implantation in Patients with Chronic Middle Ear Disease. Audiology and Neurotology, 2, 410-417.
http://dx.doi.org/10.1159/000259266
 
[11]Kojima, H., Sakurai, Y., Rikitake, M., Tanaka, Y., Kawano, A. and Moriyama, H. (2010) Cochlear Implantation in Patients with Chronic Otitis Media. Auris Nasus Larynx, 37, 415-421. http://dx.doi.org/10.1016/j.anl.2010.01.009
 
[12]Keithley, E. and Haris, J. (1996) Late Sequelae of Cochlear Infection. Laryngoscope, 106, 341-345.
http://dx.doi.org/10.1097/00005537-199603000-00019                                                  eww150126lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文