Complications and clinical analysis of 416 consecutive cochlear implantations

Qiu, Jianhua; Yang, Chao; Tan, Pei Shan; Chen, Jun; Han, Yu; Gao, Lei; Lu, Yang; Du, Beibei

doi:10.1016/j.ijporl.2011.06.006

Cited by 43 publications

(23 citation statements)

References 10 publications

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“…Major and minor CI complication rates have ranged in the literature from 1.5%–10.2% and 0.7%–32%, respectively. 15,17,19,20 The most frequent types of postoperative complications vary by report, although device failure, infection and vertigo have been demonstrated in several studies to be the most common. The average length of follow-up has ranged in previous studies from 1.4 to 6.9 years, compared to 4.8 years in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…However, because more severe complications would most likely bring patients back to the clinic, and CI patients need to regularly report to clinic for programming of their device, we believe that our dataset captures the vast majority of post-CI complications, particularly those considered to be serious. Second, the criteria for major and minor complications differ across the literature, and some studies 16,18,20 do not consider device failure to be a complication of surgery. The inclusion of hard and soft device failures in our analysis may thus overestimate our complication rates relative to other studies.…”

Section: Discussionmentioning

confidence: 99%

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Cochlear Implantation in Older Adults

Chen¹,

Clarrett²,

Li³

et al. 2013

Otology &Amp; Neurotology

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Objectives To analyze the postoperative complications associated with cochlear implant (CI) surgery in a large consecutive case series of older adults (≥ 60 years) Study Design Retrospective case review Setting Tertiary referral center Patients 445 individuals ≥60 who received a first CI between1999–2011 Interventions Cochlear implantation Main Outcome Measure(s) Postoperative complications classified as major (meningitis, immediate postoperative facial weakness, device failure, flap dehiscence, surgical removal) and minor (surgical site infection, balance problems, delayed postoperative facial weakness, facial nerve stimulation) Results The mean age at implantation was 72.7 years (60–94.9) and the median duration of follow-up was 4.8 years (0.1–12.5). There were 42 minor complications in 41 patients (9.2%) and 36 major complications in 21 patients (4.7%). Seventeen patients (3.8%) required surgical device removal, 15 of whom underwent reimplantation. A Kaplan-Meier analysis of rates of device explantation demonstrated that at 5 and 10 years after CI, respectively, 95.4% and 93.1% of patients retained their original CI. When comparing complications between patients aged 60–74 years and those aged 75 years and older, there was a higher prevalence of balance problems lasting more than 1 month in the older group (9.5% vs. 4.9%, p = .05). Conclusions Our results indicate that the safety profile of cochlear implantation in an older population is comparable to that of younger adults and children. We suggest that concerns for increased postoperative complications in patients of advanced age do not need to be a primary consideration when determining CI candidacy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cochlear Implantation in Older Adults

Chen¹,

Clarrett²,

Li³

et al. 2013

Otology &Amp; Neurotology

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“…6,22,34,[43][44][45][46][47] Kohlear implant cerrahisi komplikasyonları; ameliyat sırası ve ameliyat sonrası dönemlerde görülme durumlarına göre gruplandırılarak aşağıda açıklan-mıştır. 6,22,30,44,47,48 A Am me el li iy ya at t s sı ır ra as sı ın nd da a e en n s sı ık k g gö ör rü ül le en n k ko om mp pl li ik ka as s--y yo on nl la ar r; ; ■ Hemoraji, 6,30 ■ Fasiyal sinir ve korda timpani zedelenmesi, 6,30,44 ■ Perilenf sızıntısı, 6,30 ■ Elektrotun yanlış yerleştirilmesi, 6,22,41,46,47 ■ Elektrot hasarı. 6,22,30,47 A Am me el li iy ya at t s so on nr ra as sı ı d dö ön ne em md de e e en n ç ço ok k k ka ar rş şı ıl la aş şı ıl la an n k ko om mp pl li ik ka as sy yo on nl la ar r; ; ■ Hematom, 6,23,30,42,45,46,48 ■ Seroma, 6,30,43 ■ Aerosel, 6,30 ■ Beyin; omurilik sıvısı sızıntısı, 23,42,44,…”

Section: Kohlear İmplant Cerrahi̇si̇ni̇n Kompli̇kasyonlariunclassified

“…6,22,30,47 A Am me el li iy ya at t s so on nr ra as sı ı d dö ön ne em md de e e en n ç ço ok k k ka ar rş şı ıl la aş şı ıl la an n k ko om mp pl li ik ka as sy yo on nl la ar r; ; ■ Hematom, 6,23,30,42,45,46,48 ■ Seroma, 6,30,43 ■ Aerosel, 6,30 ■ Beyin; omurilik sıvısı sızıntısı, 23,42,44,[48][49][50] ■ Flep sorunları, 22,30,41,42,45 ■ Baş ağrısı, 43,49 ■ Otitis media, 30,41,44,45,48,50 ■ Labirentit, 6,30 ■ Menenjit, 6,22,23,30,44,45,48,50,51 ■ Ödem, 42,49,51 ■ Fasiyal ya da timpanik sinir uyarıl-ması, 6,…”

Section: Kohlear İmplant Cerrahi̇si̇ni̇n Kompli̇kasyonlariunclassified

“…23,30,[41][42][43][45][46][47][48][49][50][51] Cihazın çıkar-tılmasına neden olan ve yeni bir cerrahi gerektiren, ciddi bir tıbbi soruna veya fasiyal paraliziye yol açan ve hastanede yatış süresini uzatan büyük komplikasyonlar; kendiliğinden veya basit lokal ya da ilaç tedavisi ile geçen komplikasyonlar da küçük komplikasyonlardır. 30,34,41,[46][47][48]50 En sık görülen büyük komplikasyon fasiyal sinir parezisi veya paralizisi, küçük komplikasyon ise ameliyat sonrası baş ağrısıdır. 43 …”

Section: Kohlear İmplant Cerrahi̇si̇ni̇n Kompli̇kasyonlariunclassified

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Responsibilities of Nurse in Cochlear Implant Surgery: Review

Altınbaş¹,

Korkmaz²,

Kirazlı³

2016

Turkiye Klinikleri J Nurs

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K ohlear implantlar; bilateral ileri veya çok ileri derecede sensörinö-ral işitme kaybı olan, işitme cihazından yeterince ya da hiç fayda göremeyen çocuk ve erişkinlere, sesleri daha iyi algılama ve konuş- A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Kohlear implantlar; işitme kaybı; cerrahi; komplikasyonlar; hemşirelik bakımı A AB BS S T TR RA AC CT T A cochlear implant, is a very useful application on the partial recovery of hearing for individuals that have severe sensorineural hearingloss and have not benefit from hearing aids. Nowadays, cochlear implant has provided a new lifestyle to many hearing-impaired children and adults. Centers which are conducted cochlear implant which is currently 38 in our country and hundreds of cochlear implant practices are being implemented in these centers. Nurses have an important responsibility of providing improvements in patients undergoing cochlear implant surgery, prevention, early detection and management of complications which may be occured. Nurses have needed to educate themselves to be prepared for such technological surgery and to provide the care of patients with the best conditions. The number of medical publications and studies about the implementation of cochlear implant has been increased rapidly, and also in the literature, studies dealing with the nursing aspect of this issue have not been found. In this article, cochlear implant's technical specifications, selection of patients, the impact on quality of life, preoperative and postoperative care of cochlear implant patients with the surgical technique and possible complications are included. This study is expected to contribute to our colleagues working in these units which cochlear implant is implemented and planned to be implemented.

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