Graeme Clark Collection

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Author: PYMAN, BRIAN × End date: 1995 × Start date: 1990 × Subject: cochlear implant × Subject: deafness × Subject: otolaryngology × Subject: otology ×

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    Chronic middle ear disease and cochlear implantation
    Donnelly, M. J. ; Pyman, B. C. ; Clark, Graeme M. ( 1995)
    Profound or total hearing loss can occur in the setting of chronic suppurative otitis media (CSOM), either coincidentally or secondary to the disease process. Obviously, inserting a foreign body through a potentially infected field into a space that communicates intracranially presents a challenging management problem. This paper presents the experience from the Melbourne Cochlear Implant Clinic (CIC) in implanting patients with bilateral CSOM. This is certainly not a common problem, as there have been only 3 cases from 121 implanted adults. However, we feel that it is an important issue with potentially devastating consequences. In addition, there are many countries in which bilateral CSOM is a more common problem and cause of profound or total hearing loss.