Tympanostomy Tubes in Cochlear Implant Patients
Tympanostomy Tubes in Cochlear Implant Patients
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DOI：
10.1002/lary.20416
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发表时间：
2009-01-01
期刊：
影响因子：
2.6
通讯作者：
Balkany, Thomas
中科院分区：
文献类型：
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作者：
Kulak, Jessia;Garazi, Estee;Balkany, Thomas
目的：探讨人工耳蜗术后鼓室造瘘管置入术的疗效和并发症。方法：对人工耳蜗术前、术后置入人工耳蜗术和鼓室造瘘术的患儿进行回顾性分析。结果：人工耳蜗术后中耳炎的发生率明显下降。本组病例均未发生人工耳蜗术后并发症。发生的并发症与插管有关。在这个人群中没有脑膜炎的发病率。共有4人住院，均与急性中耳炎发作有关，需要静脉注射抗生素。结论：中耳炎在该儿童年龄组中将继续发生。本研究表明，鼓膜造瘘管似乎是安全的，并且不会增加人工耳蜗术的发生率。
Objectives: The purpose of the study is to assess the outcomes and complications that occur in patients that have cochlear implants and tympanostomy tubes.Methods: retrospective chart review of pedi- atric patients that have cochlear implants and tympanostomy tubes placed either before or after cochlear implantation. Patients were identified by billing codes from 1999-2007.Results: The incidence of otitis media decreased after cochlear implantation. There were no cochlear implant related complications in this case series. The complications that occurred were tube related. There was no incidence of meningitis in this population. There were four hospitalizations, all related to an episode of acute otitis media that required intravenous antibiotics.Conclusions: Otitis media will continue to occur in this pediatric age group. As demonstrated in this study, tympanostomy tubes appear to be safe and do not increase the incidence of cochlear implant related