OBJECTIVE: To examine the incidence of @entity697 ( @entity697 ) and @entity2267 in @entity1 after cochlear implantation (CI) and to evaluate the role of mastoidectomy in decreasing the rate of @entity697 in implanted @entity1 by comparing two surgical techniques: the Posterior tympanotomy approach ( @entity29458 , with mastoidectomy) and the Suprameatal approach (SMA, without mastoidectomy). METHODS: A retrospective study was conducted on 234 @entity1 up to 16 years of age who underwent CI between 1993 and 2003 in our department. The @entity1 were divided into two groups according to the surgical technique that had been used for the implantation: the @entity29458 group and the SMA group. RESULTS: Part of the @entity1 with a history of @entity697 (22 of 29 in @entity29458 group and 26 of 38 in SMA group) did not suffer from @entity697 post-CI (p=0.59), and an incidence of @entity697 after CI in @entity1 who did not have history of @entity697 prior to implantation (13 @entity1 of @entity29458 group and 15 @entity1 of SMA group) was unrelated to surgical approach (p=0.65). The incidence of @entity697 was similar for the two groups and declined after CI unrelated to performing of mastoidectomy in surgical technique. Overall, 47 @entity1 (20.1%) had post-CI @entity697 compared to 67 @entity1 (28.6%) who had pre-CI @entity697 . @entity2267 developed in 11 @entity1 (4.7%), all 11 in the @entity29458 group. A subperiosteal abscess was incised and drained with the retroauricular approach in three of these @entity1 and the others were managed with intravenously administered @entity2756 50mg/kg/day for 3-5 consecutive days, followed by a course of oral @entity7265 until there is complete clinical resolution of the effusion in the middle ear. The implants were preserved in all cases. Seven out of 11 @entity1 with @entity2267 had no history of @entity697 prior to implantation. CONCLUSIONS: @entity697 and @entity2267 represent common complications of CI that can be successfully treated with the prompt use of antibiotics. @entity733 could require surgical drainage. In our opinion, the decrease of incidence of @entity697 in implanted @entity1 is the result of natural history of @entity2346 media and is unrelated to the surgical approach.

@entity697 media and XXXX following cochlear implantation.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity2756 :: ('MESH:D002443', 'Chemical') :: ['ceftriaxone'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute otitis media', 'AOM', 'pre-implantation AOM'] @entity29458 :: ('MESH:C008313', 'Chemical') :: ['MPTA'] @entity733 :: ('MESH:D000038', 'Disease') :: ['However, the subperiosteal abscess'] @entity2267 :: ('MESH:D008417', 'Disease') :: ['mastoiditis', 'Mastoiditis'] @entity7265 :: ('MESH:D002506', 'Chemical') :: ['cephalexin'] @entity2346 :: ('MESH:D010031', 'Disease') :: ['otitis']
@entity2267 :: (MESH:D008417,Disease) :: ['mastoiditis']
