Complications in a series of 4400 paediatric cochlear implantation

Daneshi, Ahmad; Ajalloueyan, Mohammad; Ghasemi, M; Hashemi, Seyed Basir; Emamjome, Hesam; Farhadi, Mohammad; Zahra, Ajalloueyan

doi:10.1016/j.ijporl.2015.05.035

Cited by 28 publications

(18 citation statements)

References 19 publications

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“…Loundon et al (2008), reported gusher in 24% of 37 patients with inner ear malformations [19]. Daneshi et al (2015) reported 10.82% incidence of gusher in 157 cases of inner ear anomalies [3]. We noticed the incidence of gusher to be 29% (Five out of 17 cases).…”

Section: Discussionmentioning

confidence: 51%

“…Daneshi et al (2015) also maintained that conservative approach for CSF rhinorrhoea in postoperative period for two to three days was sufficient [3].…”

Section: Discussionmentioning

confidence: 96%

“…Major complications reported are CSF leakage, skin necrosis, postoperative meningitis, facial nerve damage, hemorrhage and device failure needing explanation [2,3]. These complications are reported to be more frequent in cases with congenital anomalies like common cavity, incomplete partition deformity and large vestibular aqueduct syndrome [4].…”

Section: Introductionmentioning

confidence: 99%

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CSF Gusher in Cochlear Implant Surgery–does it affect surgical outcomes?

Vashist

Singh

2016

European Annals of Otorhinolaryngology, Head and Neck Diseases

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a b s t r a c tObjectives: The purpose of this prospective study was to measure surgical outcomes in cases of cerebrospinal fluid gusher in cochlear implant surgery. Materials and methods: Demographic, radiological, neurophysiological and surgical results were evaluated in nine cases of patients with cerebrospinal fluid gusher during cochlear implant surgery, out of 164 unilateral cochlear implant procedures. Review of literature and our management technique is discussed. Results: Nine cases had cerebrospinal fluid leak during surgery. Out of three cases of incomplete partition type II, two had cerebrospinal fluid gusher while one had milder ooze. Two cases with large vestibular aqueduct syndrome had intraoperative cerebrospinal fluid gusher. Four cases of gusher had no predictable risk factors on clinical history, examination or preoperative radiology. All cases were managed with meticulous packing of round window site without any other additional measures such as lumbar drain or use of tissue glue. These cases showed no symptoms or signs of cerebrospinal fluid leak in the follow-up period. Conclusion: We recommend careful meticulous packing of the round window around the electrode using periosteum until cerebrospinal fluid leak is controlled in all cases of cerebrospinal fluid gushers. We also recommend a very conservative approach to managing these patients in the immediate postoperative period.

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Section: Discussionmentioning

confidence: 51%

“…Daneshi et al (2015) also maintained that conservative approach for CSF rhinorrhoea in postoperative period for two to three days was sufficient [3].…”

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

CSF Gusher in Cochlear Implant Surgery–does it affect surgical outcomes?

Vashist

Singh

2016

European Annals of Otorhinolaryngology, Head and Neck Diseases

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show abstract

“…Hence, Kronenberg et al [7] presented a suprameatal approach to avoid facial nerve injury. The ratio of facial paralysis following cochlear implantation has been reported as 0.07-1.1% in the literature, and most of these reported cases were delayed onset paralysis [8][9][10] . In our previous cochlear implantation case series, we did not observe early or immediate facial paralysis after cochlear implantation.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic-Assisted Cochlear Implantation: A Case Series

Orhan

Polat²,

Çelik³

et al. 2016

Int Adv Otol

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“…Nevertheless, numerous complications resulting in cochlear implantation failure requiring revision surgery have been reported. [2][3][4] According to a literature review of studies with large cohorts of patients (more than 500), the complication rate ranges from 8.4% to 29.1% and the revision rate is 4%-11%. 5 According to previous literature reported, children are more likely than adults to require reimplantation because of device failure, failed fixation or device extrusion.…”

Section: Introductionmentioning

confidence: 99%