Mastoid pressure dressing for cochlear implantation-Is it necessary?

Sheng Dean Luo, Chih Ying Su, Che Ming Wu, Chung Feng Hwang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

10 Scopus citations

Abstract

Objectives: Mastoid pressure dressing (MPD) with circumferential head bandage after middle ear surgery and cochlear implantation (CI) is used to minimize the postoperative hematoma and thus provides a good wound covering. But such dressing is usually uncomfortable for patients and may lead to other unpredictable complications. This study was aimed to evaluate the need for MPD following CI. Methods: Retrospective chart analysis of 92 consecutive patients who underwent CI. Results: The 92 patients had a median age of 4.3 years. All patients were categorized into those receiving either MPD or simple gauze dressing (SGD). Six MPD patients and five SGD patients had minor surgical-site complications (9.1% and 6.3%, respectively), a statistically insignificant difference. The key to preventing hematomas is careful tissue handling and minimally invasive techniques. MPD alone rarely provides enough pressure to prevent hematoma. Conclusions: This study found no clinically significant benefits for use of MPD following CI. We suggest abandoning the use of compression bandages after uncomplicated CI.

Original languageEnglish
Pages (from-to)857-860
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume73
Issue number6
DOIs
StatePublished - 06 2009

Keywords

  • Cochlear implantations
  • Complications
  • Pressure bandage

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