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Post-operative problems and complications in 313 consecutive cochlear implantations

Published online by Cambridge University Press:  10 October 2008

T Ovesen  and
L V Johansen
T Ovesen
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Aarhus University Hospital, Denmark
L V Johansen*
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Aarhus University Hospital, Denmark
*
Address for correspondence: Dr Lars Vendelbo Johansen, Department of Oto-rhino-laryngology, Head and Neck Surgery, Aarhus University Hospital, DK-8000 Aarhus C, Denmark. Fax: +45 8949 3180 E-mail: [email protected]
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Abstract

Objective:

To describe problems and complications associated with cochlear implantation, and their management, in a Danish patient population comprising both paediatric and adult patients.

Design:

Retrospective chart review.

Setting:

Tertiary referral centre.

Subjects:

Three hundred and thirteen consecutive cochlear implantations were studied. The median age of the study population was 10 years. Sixty per cent of patients were children and 40 per cent were adult; 52 per cent were female and 48 per cent were male.

Intervention:

Two hundred and ninety-four patients received a Cochlear Nucleus® implant. The remaining 19 received an Advanced Bionics implant.

Main outcome measure:

Presence of problems and complications after cochlear implantation.

Results:

Post-operative complications were found in 15.7 per cent of patients. The majority of these complications (11.2 per cent) were minor; 4.5 per cent were major. The major complications included one patient with meningitis, one patient with multiple antibiotic resistant Staphylococcus aureus infection of a radical cavity, and one diabetic patient who developed a severe skin infection and whose implant became exposed.

Conclusion:

Cochlear implantation is a safe procedure within the studied setting. However, it is essential that careful attention be paid to surgical planning and technique, and it is important that healthcare staff and patients be aware of the possible problems and complications.

Keywords

Cochlear ImplantationPostoperative ComplicationsSurgeryBilateral Deafness
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 5 , May 2009 , pp. 492 - 496
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Bluestone, CD. Bacterial meningitis in children with cochlear implants. N Engl J Med 2003;349:1772–3Google ScholarPubMed
2 Cohen, NL, Roland, JT Jr, Marrinan, M. Meningitis in cochlear implant recipients: the North American experience. Otol Neurotol 2004;25:275–81CrossRefGoogle ScholarPubMed
3 Cunningham, CD 3rd, Slattery, WH 3rd, Luxford, WM. Postoperative infection in cochlear implant patients. Otolaryngol Head Neck Surg 2004;131:109–14CrossRefGoogle ScholarPubMed
4 Josefson, D. Cochlear implants carry risk of meningitis, agencies warn. BMJ 2002;325:298CrossRefGoogle ScholarPubMed
5 Reefhuis, J, Honein, MA, Whitney, CG, Chamany, S, Mann, EA, Biernath, KR, Broder, K, Manning, S, Avashia, S, Victor, M, Costa, P, Devine, O, Graham, A, Boyle, C. Risk of bacterial meningitis in children with cochlear implants. N Engl J Med 2003;349:435–45CrossRefGoogle ScholarPubMed
6 Arnoldner, C, Baumgartner, WD, Gstoettner, W, Hamzavi, J. Surgical considerations in cochlear implantation in children and adults: a review of 342 cases in Vienna. Acta Otolaryngol 2005;125:228–34CrossRefGoogle ScholarPubMed
7 Bhatia, K, Gibbin, KP, Nikolopoulos, TP, O'Donoghue, GM. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations. Otol Neurotol 2004;25:730–9CrossRefGoogle Scholar
8 Black, IM, Bailey, CM, Albert, DM, Leighton, SE, Hartley, BE, Chatrath, P, Patel, N. The Great Ormond Street Hospital paediatric cochlear implant programme 1992–2004. A review of surgical complications. Cochlear Implants Int 2007;8:53–67Google Scholar
9 Cohen, NL, Hoffman, RA, Stroschein, M. Medical or surgical complications related to the Nucleus multichannel cochlear implant. Ann Otol Rhinol Laryngol Suppl 1988;135:8–13CrossRefGoogle ScholarPubMed
10 Dodson, KM, Maiberger, PG, Sismanis, A. Intracranial complications of cochlear implantation. Otol Neurotol 2007;28:459–62CrossRefGoogle ScholarPubMed
11 Dutt, SN, Ray, J, Hadjihannas, E, Cooper, H, Donaldson, I, Proops, DW. Medical and surgical complications of the second 100 adult cochlear implant patients in Birmingham. J Laryngol Otol 2005;119:759–64CrossRefGoogle ScholarPubMed
12 Green, KM, Bhatt, YM, Saeed, SR, Ramsden, RT. Complications following adult cochlear implantation: experience in Manchester. J Laryngol Otol 2004;118:417–20CrossRefGoogle ScholarPubMed
13 Gysin, C, Papsin, BC, Daya, H, Nedzelski, J. Surgical outcome after paediatric cochlear implantation: diminution of complications with the evolution of new surgical techniques. J Otolaryngol 2000;29:285–9Google ScholarPubMed
14 Kandogan, T, Levent, O, Gurol, G. Complications of paediatric cochlear implantation: experience in Izmir. J Laryngol Otol 2005;119:606–10CrossRefGoogle ScholarPubMed
15 Kempf, HG, Johann, K, Weber, BP, Lenarz, T. Complications of cochlear implant surgery in children. Am J Otol 1997;18(6 Suppl):S62–3Google ScholarPubMed
16 Kempf, HG, Johann, K, Lenarz, T. Complications in pediatric cochlear implant surgery. Eur Arch Otorhinolaryngol 1999;256:128–32CrossRefGoogle ScholarPubMed
17 Lassig, AA, Zwolan, TA, Telian, SA. Cochlear implant failures and revision. Otol Neurotol 2005;26:624–34CrossRefGoogle ScholarPubMed
18 Postelmans, JT, Cleffken, B, Stokroos, RJ. Post-operative complications of cochlear implantation in adults and children: five years' experience in Maastricht. J Laryngol Otol 2007;121:318–23CrossRefGoogle ScholarPubMed
19 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 (suppl):14–7CrossRefGoogle ScholarPubMed