Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Comparing the Patients with or without Inner Ear Malformations in Terms of Intra and Postoperative Complications of Cochlear Implantation

Document Type : Original

Authors
Adib Molaei Sisakht 1
Seyed Basir Hashemi 2
Leila Monshizadeh 2
1 Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
2 Otolaryngology Research Center, Khalili Hospital, Shiraz, Iran.
10.22038/ijorl.2023.71581.3433
Abstract
Introduction:
Since 20% of the patients with sensorineural hearing loss have confirmed radiographically inner ear malformation, this study aimed to compare the incidence rate of intra and postoperative complications of cochlear implantation amongst the patients with or without inner ear malformations.
 Materials and Methods:
In this retrospective study, we evaluated the medical record of 954 patients who had undergone cochlear implantation. Seventeen patients had inner ear malformations and were selected as the case group, and 25 patients with normal inner ear were selected as the control group. Patient’s information; including intraoperative complications, post-operative complications and neural response telemetry (NRT) immediately after the surgery were recorded. Finally, the collected data were analyzed, using the SPSS software, version 21.
Results:
According to the CT-scan findings, the most observed internal ear abnormality was the temporal bone Mondini in 8 patients (47%), and the next inline was the common cavity at a frequency of (23.52%). Cerebrospinal fluid (CSF) gusher was detected in 11 patients (64.7%) of the case group, which was significantly higher than the other group. This includes mild CSF gusher in 7 cases (41.17%) and severe CSF gusher in 5 cases (29.41%). Interestingly, no significant post-operative complications were observed in either group, minor side effects were limited and not significantly different.
Conclusion:
In conclusion, despite the limitations of cochlear implantation surgery amongst patients with inner ear malformation with potential risk of early or late complications, it can still be recommended as an appropriate procedure to acquire hearing as well as auditory and speech perception.
Keywords
Cochlear implantation
Inner ear malformation
Complications
Gusher
Subjects
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DOI: 10.1007/978-981-13-6123-4_8

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Iranian Journal of Otorhinolaryngology
Volume 35, Issue 5 - Serial Number 130
September and October 2023
Pages 279-283