Purpose of review: The presence of chronic ear disease in patients with profound SNHL presents a challenge to the otologic surgeon and was considered, in the past, a contraindication to cochlear implantation. This review discusses options for cochlear implantation in patients with chronically diseased ears.
Recent findings: Several management options are available for cochlear implantation in patients with chronic suppurative otitis media (CSOM) and severe to profound sensorineural hearing loss (SNHL).
Conclusion: Cochlear implantation can be safely achieved in patients with CSOM. The approach chosen should be individualized based on clinical findings.