A Case of Cochlear Implantation in Cholesteatoma Patient after Attic and Middle Ear Augmentation Using Conchal Cartilage to Prevent Drum Adhesion and Retraction Pocket

Received October 9, 2009 Revised November 5, 2009 Accepted November 12, 2009 Address for correspondence Sang Ho Jung, MD Department of OtorhinolaryngologyHead and Neck Surgery, Yonsei University Wonju College of Medicine, 162 Ilsan-dong, Wonju 220-701, Korea Tel +82-33-741-0642 Fax +82-33-732-8287 E-mail neoent@yonsei.ac.kr We present a 51-year-old female patient, who suffered from bilateral chronic otitis media with attic cholesteatoma. She underwent bilateral mastoidectomy and tympanoplasty and attic augmentation using cartilage to prevent postoperative tympanic membrane adhesion and retraction pocket. There was no evidence of recurrence of chronic otitis media with attic cholesteatoma on physical examination and CT and MRI after 1 year, and cochlear implantation was performed on her left ear. She showed nearly normal level of hearing thrsholds and open-set speech perception results 10 months after cochlear implantation. Cochlear implantation after attic and middle ear augmentation using cartilage is a beneficial technique to prevent recurrence of attic cholesteatoma. Korean J Audiol 2009;13:258-263