The use of honey in cochlear implant associated wounds in pediatric patients

Publication date: August 2018
Source:International Journal of Pediatric Otorhinolaryngology, Volume 111
Author(s): Anya Costeloe, Nathan Douglas Vandjelovic, Michel Anthony Evans, Sonal S. Saraiya
IntroductionThe use of honey in wound care is becoming more common due to the proven benefit in all three phases of wound healing, as well as the antibacterial and antibiofilm properties. We present our experience using TheraHoney gel, a medical grade honey, for the successful treatment of cochlear implant associated skin breakdown.ObjectiveTo describe the role of TheraHoney gel in the management of cutaneous infection and ulceration associated with cochlear implants.MethodsThree cases of wounds treated traditionally with antibiotics, plus the addition of TheraHoney, were retrospectively reviewed. The first patient had a superficial 1 × 1 cm ulcer, the second patient had bilateral ulcers: one superficial 1.5 × 1.5 cm ulcer and the other a 1.5 × 2 cm stage III pressure ulcer with an exposed receiver stimulator, and the third patient with a 3 × 3.5 cm stage III ulcer with an exposed receiver stimulator.ResultsWith the addition of TheraHoney gel, complete wound closure was achieved at all three patients without the need for surgical reconstruction.ConclusionCutaneous infection with or without skin breakdown is a common delayed complication after cochlear implantation. We demonstrate the efficacy of adding medical grade honey in promoting healing in infected scalp pressure ulcers overlying the cochlear implant site.



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