Cochlear Implantation in Children with Otitis Media

  • Farid Alzhrani
  • Mohammed Saeed Alahmari
  • Ibrahim Khalid Al Jabr
  • Soha N. GaradatEmail author
  • Abdulrahman Abdullah Hagr
Original Article


One of the concerns during the cochlear implant candidacy process is the presence of chronic otitis media which could delay the implantation process. The aim of this study was to evaluate the surgical difficulties and the long-term complications in children with otitis media and to examine whether it is necessary to delay the implantation until the infection is resolved. The study used a comparative retrospective design based on chart review of all patients who received their implant(s) from January to December of 2012. A total of 200 patients were identified and were followed for 4 years post surgery. Patients were divided into three groups based on their history of otitis media (non-otitis media, chronic otitis media with effusion, and acute otitis media). Data included long-term complications, operative time and duration from first clinical visit to the time until implantation was received. None of study participants had long-term complications during the study period. The operative time was longer in the acute otitis media group with a difference of 45 min. The average delay in cochlear implantation due to the presence of otitis media in chronic group was more than 5 months. Pediatric patients with otitis media could be implanted in one stage safely and effectively.


Cochlear implant Otitis media Complications Infection 



This research was funded by Prince Sultan Research Chair for Hearing Disability and Implantable Hearing Devices, King Saud University, Riyadh, Saudi Arabia. It is one of the recommended ideas for research projects by Saudi ORL.

Compliance with Ethical Standards

Conflict of interest

the authors have no conflict of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.King Abdullah Ear Specialist Center, College of MedicineKing Saud UniversityRiyadhSaudi Arabia
  2. 2.Department of OtolaryngologyKing Fahad Specialist HospitalKhobarSaudi Arabia
  3. 3.Medical Audiology SciencesAmerican University of BeirutBeirutLebanon

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