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Complications and clinical analysis of 416 consecutive cochlear implantations.
Int J Pediatr Otorhinolaryngol. 2011 Sep; 75(9):1143-6.IJ

Abstract

OBJECTIVES

Cochlear implantation is a safe technique with a relatively low complication rate. However, certain complications may require specific attention to treat. The purpose of this study was to investigate complications of cochlear implantation for prevention and therapy.

STUDY DESIGN

Retrospective case series at a tertiary referral center in China.

METHODS

The patients (n=416) who received cochlear implants in our department between 2000 and 2010 were followed up (range, 3 months to 10 years). The complications were identified as "minor" or "major". All complications were systematically reviewed, and their causes were analyzed for prevention and therapy.

RESULTS

There were a total of 29 complications (7%). The minor were 23 cases (5.5%), including postoperative subcutaneous hematoma in 13 cases, acute otitis media in 2 cases, postoperative wound infection in 2 cases, delayed facial paralysis in 1 case, clonic facial spasm in 1 case, and severe vertigo in 4 cases. The major were 6 cases (1.5%), including cerebrospinal fluid leakage in 2 cases, implant-related infection and extrusion in 1 case, tympanic membrane perforation induced electrode exposed in 1 case, implantation failure due to cochlear ossification in 1 case, and magnet displacement in 1 case.

CONCLUSIONS

Although cochlear implantation is popular, it is essential to decrease the incidence of complications.

Authors+Show Affiliations

Department of Otolaryngology, Xijing Hospital, Fourth Military Medical University, Changlexilu 15, Xi'an 710032, Shanxi Province, China. qiujh@fmmu.edu.cnNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21741711

Citation

Qiu, Jianhua, et al. "Complications and Clinical Analysis of 416 Consecutive Cochlear Implantations." International Journal of Pediatric Otorhinolaryngology, vol. 75, no. 9, 2011, pp. 1143-6.
Qiu J, Chen Y, Tan P, et al. Complications and clinical analysis of 416 consecutive cochlear implantations. Int J Pediatr Otorhinolaryngol. 2011;75(9):1143-6.
Qiu, J., Chen, Y., Tan, P., Chen, J., Han, Y., Gao, L., Lu, Y., & Du, B. (2011). Complications and clinical analysis of 416 consecutive cochlear implantations. International Journal of Pediatric Otorhinolaryngology, 75(9), 1143-6. https://doi.org/10.1016/j.ijporl.2011.06.006
Qiu J, et al. Complications and Clinical Analysis of 416 Consecutive Cochlear Implantations. Int J Pediatr Otorhinolaryngol. 2011;75(9):1143-6. PubMed PMID: 21741711.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complications and clinical analysis of 416 consecutive cochlear implantations. AU - Qiu,Jianhua, AU - Chen,Yang, AU - Tan,Pei, AU - Chen,Jun, AU - Han,Yu, AU - Gao,Lei, AU - Lu,Yang, AU - Du,Bairu, Y1 - 2011/07/08/ PY - 2011/04/07/received PY - 2011/06/09/revised PY - 2011/06/11/accepted PY - 2011/7/12/entrez PY - 2011/7/12/pubmed PY - 2012/1/31/medline SP - 1143 EP - 6 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 75 IS - 9 N2 - OBJECTIVES: Cochlear implantation is a safe technique with a relatively low complication rate. However, certain complications may require specific attention to treat. The purpose of this study was to investigate complications of cochlear implantation for prevention and therapy. STUDY DESIGN: Retrospective case series at a tertiary referral center in China. METHODS: The patients (n=416) who received cochlear implants in our department between 2000 and 2010 were followed up (range, 3 months to 10 years). The complications were identified as "minor" or "major". All complications were systematically reviewed, and their causes were analyzed for prevention and therapy. RESULTS: There were a total of 29 complications (7%). The minor were 23 cases (5.5%), including postoperative subcutaneous hematoma in 13 cases, acute otitis media in 2 cases, postoperative wound infection in 2 cases, delayed facial paralysis in 1 case, clonic facial spasm in 1 case, and severe vertigo in 4 cases. The major were 6 cases (1.5%), including cerebrospinal fluid leakage in 2 cases, implant-related infection and extrusion in 1 case, tympanic membrane perforation induced electrode exposed in 1 case, implantation failure due to cochlear ossification in 1 case, and magnet displacement in 1 case. CONCLUSIONS: Although cochlear implantation is popular, it is essential to decrease the incidence of complications. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/21741711/Complications_and_clinical_analysis_of_416_consecutive_cochlear_implantations_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(11)00283-7 DB - PRIME DP - Unbound Medicine ER -