人工耳蜗植入儿童的急性乳突炎：是否需要取出植入物？

Acute mastoiditis in children with cochlear implants: is explantation required?

作者信息

Zawawi Faisal, Cardona Isabel, Akinpelu Olubunmi V, Daniel Sam J

机构信息

Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Quebec, Canada Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Quebec, Canada.

出版信息

Otolaryngol Head Neck Surg. 2014 Sep;151(3):394-8. doi: 10.1177/0194599814536686. Epub 2014 Jun 4.

DOI:10.1177/0194599814536686

PMID:24898070

Abstract

OBJECTIVE

Acute mastoiditis is an uncommon but challenging condition when it occurs in children with cochlear implant. The literature is scarce as to the management of this condition with regards to explantation. The objective of the study is to determine the need for explantation in patients with cochlear implants who suffer from acute mastoiditis.

DATA SOURCES

Online medical databases-PubMed, Ovid Medline, Ovid Medline in process, Embase, Cochrane Library, CINAHL, Biosis, Google Scholar, and Scopus.

REVIEW METHODS

A systematic review of all publications addressing the treatment of mastoiditis in cochlear implant children prior to November 2013 was conducted. Data were collected from online medical databases-PubMed, Ovid Medline, Ovid Medline in process, Embase, Cochrane Library, CINAHL, Biosis, Google Scholar, and Scopus. The review was performed in 3 phases; an initial screening review of abstracts was performed, followed by a detailed review of full articles based on inclusion and exclusion criteria, and lastly a final review to extract data from selected articles.

RESULTS

Twelve articles were found eligible for this systematic review including a total of 43 patients. Subperiosteal abscess was present in 14.3%. All patients received intravenous antibiotics as an initial treatment, and if needed, surgical intervention was performed. Only 1 patient required explantation (2.3%).

CONCLUSION

Prompt, aggressive medical and if needed surgical therapy can help in saving the implant and result in a favorable outcome.

摘要

目的

急性乳突炎在接受人工耳蜗植入的儿童中虽不常见但具有挑战性。关于这种情况的植入物取出处理，文献资料匮乏。本研究的目的是确定患有急性乳突炎的人工耳蜗植入患者是否需要取出植入物。

数据来源

在线医学数据库——PubMed、Ovid Medline、Ovid Medline正在进行中、Embase、Cochrane图书馆、CINAHL、Biosis、谷歌学术和Scopus。

综述方法

对2013年11月之前发表的所有关于人工耳蜗植入儿童乳突炎治疗的文献进行系统综述。数据从在线医学数据库——PubMed、Ovid Medline、Ovid Medline正在进行中、Embase、Cochrane图书馆、CINAHL、Biosis、谷歌学术和Scopus收集。综述分三个阶段进行；首先对摘要进行初步筛选综述，然后根据纳入和排除标准对全文进行详细综述，最后对选定文章进行最终综述以提取数据。