Evaluation of surgical complications after cochlear implantation in Fars center, south of Iran

Document Type : Original

Authors

1 Associate Professor, Department of Ear, Throat and Nose, Shiraz University of Medical Sciences

2 Ear, throat, nose specialist

Abstract

Introduction: Cochlear implant, which used in patients with profound hearing loss, may followed by some major or minor complications. These complications depend on age of patient, kind of device, kind of incision, surgical technique and surgeon’s skill. Major complications mostly need surgical intervention for treatment and, may persist for long time. Minor complications need medical treatment and don’t need surgical intervention.
Materials and Methods: In this descriptive study between 2004-2007, 100 patients subjected to cochlear implantation were evaluated for post operative complications.
Results: Overall complication rate was 14%. We had 4 major complications, including 2 device failure, one misplaced electrode and one cases with major hematoma .These complications managed successfully by surgical intervention or reimplantation. Facial nerve damage or wound breakdown were not seen in these patients. Minor complications including small hematoma, edema, wound infection, dizziness were seen in 10 cases that managed medically.
Conclusion: In the recent years complications of cochlear implantation are reduced with increasing surgeon’s skill, new surgical methods and development in device technology.
 

Keywords

References

1- Cochlear implants, surgical technique. [cited 2006 May 24]. Availabele from: http://www. emedicine .com/ent/topic/25/htm
2- Kempf HG, Johann K, lenarz T. Complications in pediatric cochlear implant surgery. Eur Arch Otorhinolaryngol 1999; 256(3): 128-32.
3- Kandogan T, Levent O, Gurol G. Compliction of pediatric cochlear implantation: Experience in Izmir. J Laryngol Otol 2005; 119(8): 606-10.
 
 
4- Bhatia K, Gibbin KP, Nikolopoulos TP, Odonoghue GM. Surgical complication and their management in series of 300 consecutive pediatric cochlear implantation. Otol Neurotol 2004; 25(5): 730-9.
5- Tambyraty RR, Gutman MA, Megerian CA. Cochlear implant complication: Utility of federal database in systematic analysis. Arch Otolaryngol Head Neck Surg 2005; 131: 245-50.
6- Dodson KM, Maiberger PG, Sismanis A. Intracranial complication of cochlear implantation. Otol Neurotol 2007; 28(4): 459-62.
7- Ramos A, Charlone R, de Miguel I, Valdi Vielso A, Cuyas JM, Perez D, et al. Complications in cochlear implantation. Acta Otolaringol ESP 2006; 57: 122-5.
8- Arnoldner C, Baumgrtner WD, Gstoettner W, Hamzavi J. Surgical considerations in cochlear implantation in children and adults: A review of 342 cases in Vienna. Acta Otolaryngol 2005; 125(3): 228-34.
9- Dutt SN, Ray J, Hadjihannas E, Cooper H, Donalson I, Proops DW. Medical and surgical complications of the second 100 adult cochlear implant patients in Birmingham. J Laryngol Otol 2005; 119(10): 64.
10- Proops DW, Stoddart RL, Donaldson I. Medical, surgical and audiological complications of the first 100 adult cochlear implant patients in Birmingham. J Laryngol Otol 1999: 24: 7-14.
11- Hashemi SB, Monshizadeh L, Monabati S. [The process of auditory, speech and language skills development in thirty patients of Pars cochlear implant center]. Iranian journal of otorhinolaryngology 2007; 46(4): 153-8. (Persian)
12- Cohen Nl, Hoffman RA, Stroschein M. Medical or surgical complications related to the nucleus multichannel cochlear implant. Ann Otol Rhinol Laryngol 1988; 135: 8-13.
13- Migirov L, Muchnik C, Kaplane K, Neeman R, Kronenberg J. Surgical and medical complications in pediatric cochlear implantation: A review of 300 cases. Cochlear Implantation 2006; 7(4): 194-201.
14- Kim CS, Oh SH, Chang SO, Kim HM, Hu DG. Management of complications in cochlear implantation. Acta Otolaryngol 2008; 128(4): 408-14.
15- Kileny PR, Meiteles LZ, Zwolan TA, Telian SA. Cochlear implant device failure: Diagnosis and management. Am J Otol 1995; 16(2): 164-71.
16- Hopfenspirger MT, Levine SC. Infectious complications in pediatric cochlear implants. Laryngoscope 2007; 117: 1825-9.
17- Khatwa MM, Khan A, Osborne J. Surgical  emphysema: A rare complication following cochlear implantation. Cochlear Implant Int 2007; 8(3): 158-61.
 
Iranian Journal of Otorhinolaryngology
Volume 20, Issue 53 - Serial Number 53
May and June 2008
Pages 145-149

Files

Share

How to cite

Statistics