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  Contents > Previous page > Article detail print Order
o Issue N# 2 - 2015 o

OTOLOGY

Cholesteatoma presenting as a late complication of cochlear implant surgery: Case report and literature review


Authors : Bort A, Portmann D, Guindi S. (Bordeaux)

Ref. : Rev Laryngol Otol Rhinol. 2015;136,2:67-71.

Article published in english
Downloadable PDF document english



Summary : A male patient with post lingual hearing loss was implanted at 16 years of age with a Nucleus cochlear implant (Cochlear®) in his left ear. Twenty two years later, he developed a cholesteatoma in relation to the mastoid portion of the facial nerve and in contact with the electrodes array. The choles­teatoma was removed and the ear canal reconstructed. There was no post-operative facial palsy and the cochlear implant was preserved. Although cholesteatoma is a rare complication of the cochlear implant surgery, it still can occur and can be a source of potential damage to the implant. The origin of this late-presenting complication could be excessive bone drilling associated with the pressure caused by the loop of the electro­des array on the posterior canal wall. Implanted patients must have a close and particular long-term follow-up, especially when a surgical breach of the canal wall or a tear of the tympa­nic membrane have occurred during surgery, as well as in those patients in whom excessive thinning-out of the poste­rior meatal wall was done.

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