gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Cochlear implant parts as a foreign body for 10 years

Meeting Abstract

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  • corresponding author Mahmud Abuagilla Ali - HNO-TMC, Tripoli, Libyen
  • Jan Maurer - Katholisches Klinikum Koblenz, Koblenz, Deutschland

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod242

DOI: 10.3205/10hnod242, URN: urn:nbn:de:0183-10hnod2420

Published: April 22, 2010

© 2010 Ali et al.
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Outline

Text

An unusual case is reported of a 22-year-old female (born on 28.05.1985) patient presenting with recurrent otorhoea and persistent postauricular fistula after having cochlear implant on 30.11.1996 and revision with implant extraction in 2001 alio loco.

The patient gave a history of ear discharge weeks postoperative which have been treated aggressively but with out benefit, the surgeon decide to remove the Cochlear implant some years later but the fistula and the ear discharge recur again.

Due to psychological problems the patient refuse any operation more on her ear.

On 27.03.2007 the patient agree to undergo a second revision operation which shows that most of the cochlear implant cable is present in the mastoid and middle ear cavities and react as a foreign body, and part of it was perforating the posterior EAC wall.the mastoid and middle ear cavities were full of pus and granulation tissues, radical mastoidectomy was necessary.

It seems that only the internal processor was removed at the first revision surgery 2001.

The postoperative course was uneventful and the patient made an excellent recovery.

More than 2 years now the patient is free from symptoms, happy but for sorry she lost the possibility for new cochlear implantation.