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Revision surgeries and medical interventions in young cochlear implant recipients.
Int J Pediatr Otorhinolaryngol. 2011 Oct; 75(10):1221-4.IJ

Abstract

OBJECTIVE

To report devices failures and postoperative or medical complications after cochlear implantation in children and to discuss revision surgeries and medical interventions occurring during follow-up.

METHODS

In this retrospective study in a tertiary referral pediatric hospital, we included a consecutive sample of children younger than 15 years old who received implants between January 1994 and June 2010. All complications and treatments were systematically reviewed.

RESULTS

One hundred and forty children were included in this study. Four children received bilateral cochlear implantation. Mean age at implantation was 43.6 months (age ranged from 11 months to 15 years). Overall, 74 children were boys (52.1%) and 35 children (25%) received implants before the age of two. Inner ear malformations were found in 19 children (13.5%), while 18 children (12.9%) experienced complications: cochlear reimplantations (n=8), other revision surgeries (n=3) and medical treatment (n=7). Excluding device failures, 13 children (9.2%) experienced complications. Postoperative infection was the principal cause of these complications (10 cases). Four children younger than 2 years at implantation suffered complication postoperatively. In these children, there was no statistically significant increase in complications compared to older children (P>0.05). Complete electrode insertion was achieved in 7 of the 8 reimplanted children.

CONCLUSION

Cochlear implantation could be considered a safe and reliable rehabilitation for deafened young children. Reimplantation was feasible and complete electrode insertion was achievable. Long-term follow up was mandatory to minimize and control surgical complication.

Authors+Show Affiliations

CHRU de Tours (Centre d'implant cochléaire des Service d'ORL et chirurgie cervico-faciale et Service de chirurgie pédiatrique de la tête et du cou), 37044 Tours, France. lescanne@univ-tours.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21813189

Citation

Lescanne, Emmanuel, et al. "Revision Surgeries and Medical Interventions in Young Cochlear Implant Recipients." International Journal of Pediatric Otorhinolaryngology, vol. 75, no. 10, 2011, pp. 1221-4.
Lescanne E, Al Zahrani M, Bakhos D, et al. Revision surgeries and medical interventions in young cochlear implant recipients. Int J Pediatr Otorhinolaryngol. 2011;75(10):1221-4.
Lescanne, E., Al Zahrani, M., Bakhos, D., Robier, A., & Morinière, S. (2011). Revision surgeries and medical interventions in young cochlear implant recipients. International Journal of Pediatric Otorhinolaryngology, 75(10), 1221-4. https://doi.org/10.1016/j.ijporl.2011.07.003
Lescanne E, et al. Revision Surgeries and Medical Interventions in Young Cochlear Implant Recipients. Int J Pediatr Otorhinolaryngol. 2011;75(10):1221-4. PubMed PMID: 21813189.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Revision surgeries and medical interventions in young cochlear implant recipients. AU - Lescanne,Emmanuel, AU - Al Zahrani,Musaed, AU - Bakhos,David, AU - Robier,Alain, AU - Morinière,Sylvain, Y1 - 2011/08/02/ PY - 2011/05/24/received PY - 2011/07/01/revised PY - 2011/07/02/accepted PY - 2011/8/5/entrez PY - 2011/8/5/pubmed PY - 2012/4/28/medline SP - 1221 EP - 4 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 75 IS - 10 N2 - OBJECTIVE: To report devices failures and postoperative or medical complications after cochlear implantation in children and to discuss revision surgeries and medical interventions occurring during follow-up. METHODS: In this retrospective study in a tertiary referral pediatric hospital, we included a consecutive sample of children younger than 15 years old who received implants between January 1994 and June 2010. All complications and treatments were systematically reviewed. RESULTS: One hundred and forty children were included in this study. Four children received bilateral cochlear implantation. Mean age at implantation was 43.6 months (age ranged from 11 months to 15 years). Overall, 74 children were boys (52.1%) and 35 children (25%) received implants before the age of two. Inner ear malformations were found in 19 children (13.5%), while 18 children (12.9%) experienced complications: cochlear reimplantations (n=8), other revision surgeries (n=3) and medical treatment (n=7). Excluding device failures, 13 children (9.2%) experienced complications. Postoperative infection was the principal cause of these complications (10 cases). Four children younger than 2 years at implantation suffered complication postoperatively. In these children, there was no statistically significant increase in complications compared to older children (P>0.05). Complete electrode insertion was achieved in 7 of the 8 reimplanted children. CONCLUSION: Cochlear implantation could be considered a safe and reliable rehabilitation for deafened young children. Reimplantation was feasible and complete electrode insertion was achievable. Long-term follow up was mandatory to minimize and control surgical complication. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/21813189/Revision_surgeries_and_medical_interventions_in_young_cochlear_implant_recipients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(11)00328-4 DB - PRIME DP - Unbound Medicine ER -