Aim and objective: Chronic otitis media (COM) is very commonly dealt with in otolaryngology practice in India. Patients with profound hearing loss due to chronic otitis media are candidates for cochlear implantation. This study aimed to evaluate the management options and to study the effectiveness of cochlear implantation in patients with bilateral severe to profound hearing loss due to COM.
Materials and methods: A retrospective study of 25 patients with severe to profound hearing loss due to bilateral chronic otitis media who underwent cochlear implantation was done from July 1998 to July 2018 at a tertiary ENT center in Chennai, India. All patients were postlingual candidates. A protocol was developed to manage otitis media and perform cochlear implantation based on the type of disease and disease activity.
Results: Significant hearing improvement after cochlear implantation was noticed in all patients with chronic otitis media. Patients with chronic otitis media posed challenges to cochlear implantation. No operative complications were noticed in any of these patients.
Conclusion: Cochlear implantation (CI) is an effective procedure for hearing restoration in patients with profound hearing loss due to chronic otitis media. Meticulous surgical technique in clearing disease and in cochlear implantation is of paramount importance. A two-stage procedure may be required for optimal outcomes.
Clinical significance: Patients with profound hearing loss due to chronic otitis media require cochlear implantation which entails special considerations. Awareness of the issues relating to CI in chronic otitis media is vital to ensure successful outcomes.
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