The impact of repetitive hyperbaric exposure during SCUBA diving on cochlear implants

The Laryngoscope
Justin M HintzePeter Walshe

Abstract

Complications during or after cochlear implantation are relatively rare. They occur more frequently in patients who partake in activities that can potentially lead to local trauma. No formal recommendations exist for participation in self-contained underwater breathing apparatus (SCUBA) activities. We describe three patients with a combined five cochlear implants and extensive diving experience, the largest case series to date, and highlight some of the difficulties faced. We also review the literature on previously described SCUBA-diving patients with cochlear implants. Retrospective case series and literature review. A review of the known SCUBA divers in the National Hearing Implant and Research Centre in Ireland was conducted, and a review of the literature was carried out using PubMed and Google Scholar. Of the three SCUBA divers with cochlear implants, two required reimplantation, the first due to nonauditory stimulation, and the second due to extrusion of the electrode through the tympanic membrane following repetitive SCUBA dives. The third patient remains without complications after 80 dives. Patients with cochlear implants can have complications relating to the implant itself, with device failure a theoretical risk. Th...Continue Reading

References

Aug 10, 2002·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Douglas D BackousNeil B Hampson
Jun 6, 2003·The Annals of Otology, Rhinology, and Laryngology·Martin KompisRudolf Häusler
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Feb 17, 2018·JAMA Otolaryngology-- Head & Neck Surgery·Matt LechnerJohn S Rubin
Feb 17, 2018·JAMA Otolaryngology-- Head & Neck Surgery·Matt LechnerJohn S Rubin

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