Surgical complications of cochlear implantation in a tertiary university hospital

Rashad, Usama; Gamal, Nihal; Mostafa, Youssif,

doi:10.1080/14670100.2017.1408231

Cited by 12 publications

(20 citation statements)

References 35 publications

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“… 16 Achiques MT has reported a prevalence of 11.38%. 17 While, Awad AH et al 18 reported complication rate of 10.43% with 6.75% minor and 3.68% major complications. Dodson KM et al reported a complication rate of 9.3%, with 59% related to device failure and 3 intracranial complications including two with minor dura leak which was repaired with fascia and one with acute hematoma treated by evacuation.…”

Section: Discussionmentioning

confidence: 97%

Complications of Cochlear Implant Surgery: A Public Implant Centre Experience

Ahmed¹,

Saqulain²,

Khan

et al. 2021

Pak J Med Sci

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Objectives: To determine the prevalence of complications of cochlear implant surgery in children with congenital profound sensorineural hearing loss. Methods: This study retrospectively & consecutively reviewed charts of children who underwent cochlear implantation from July 2015 to July 2019 at Cochlear Implant Centre of Otolaryngology Department of Capital Hospital, Islamabad Pakistan. These included cases of both genders aged one to 12 years operated at least one year before the time of data collection. Basic demographic data, complications including major and minor complications and treatment received was noted and statistically analyzed using SPSS-23. Results were presented using descriptive statistics. Results: Current study included a sample of N=251 having a mean age of 4.05±2.15 years including 154(61.4%) males and 97(38.6%) females revealed a prevalence of complications of 16(6.4%) with 4(1.6%) major and 12(4.8%) minor complications. Wound infection and acute otitis media with frequency of 3(1.2%) each were the commonest complications, followed by , facial nerve twitching, tinnitus and vertigo, infection and extrusion; and device failure in 2(0.8%) each. However, there was no significant association of complications with age group and gender with P=0.344 and P=0.519 respectively. Conclusion: Present public sector implant program is characterized with a very low prevalence of complications of 16(6.4%) with 4(1.6%) major and 12(4.8%) minor complications. Wound infection and acute otitis media were the commonest complications. doi: https://doi.org/10.12669/pjms.37.5.3960 How to cite this:Ahmed J, Saqulain G, Khan MIJ, Kausar M. Complications of Cochlear Implant Surgery: A Public Implant Centre Experience. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.3960 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 97%

Complications of Cochlear Implant Surgery: A Public Implant Centre Experience

Ahmed¹,

Saqulain²,

Khan

et al. 2021

Pak J Med Sci

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“…26,28 Late postoperative complications include failure or displacement of the device, facial nerve twitching, chronic ear infections, 26 abscess in the implant bed, rejection of the implant because of SSI, and stimulation of the tympanic nerve. 26,28 Nursing care plays a key role in the early detection and follow-up treatment of complications after CI surgery. 5,27 Postoperative meningitis may develop because of congenital anomalies in the cochlea and contamination of pathogens of the middle ear with CSF through the CI.…”

Section: Possible Complications Of CI Surgerymentioning

confidence: 99%

“…38 Compression of, or trauma to, the facial nerves may lead to facial nerve damage. 28 After the patient wakes, the nurse should check for asymmetry by asking the patient to extend his or her tongue and smile. Any facial twitching or loss of taste should be investigated.…”

Section: Possible Complications Of CI Surgerymentioning

confidence: 99%

“…Intraoperative complications include hemorrhage, facial nerve injury, 26 cerebrospinal fluid (CSF) leakage, 27 perylene leakage, cochlear fracture, chorda tympani damage, rupture of the periosteal flap, otologic drill fracture, rupture or compression of the silicone guide, electrode damage, and complications associated with general anesthesia or incorrect placement of the electrode. Early postoperative complications include surgical site infection (SSI), hematoma, skin necrosis, facial paralysis, seroma, otitis media, edema, meningitis, tinnitus, vertigo, and headache 26,28 . Late postoperative complications include failure or displacement of the device, facial nerve twitching, chronic ear infections, 26 abscess in the implant bed, rejection of the implant because of SSI, and stimulation of the tympanic nerve 26,28 .…”

Section: Possible Complications Of CI Surgerymentioning

confidence: 99%

“…Early postoperative complications include surgical site infection (SSI), hematoma, skin necrosis, facial paralysis, seroma, otitis media, edema, meningitis, tinnitus, vertigo, and headache 26,28 . Late postoperative complications include failure or displacement of the device, facial nerve twitching, chronic ear infections, 26 abscess in the implant bed, rejection of the implant because of SSI, and stimulation of the tympanic nerve 26,28 . Nursing care plays a key role in the early detection and follow‐up treatment of complications after CI surgery 5,27 …”

Section: Possible Complications Of CI Surgerymentioning

confidence: 99%

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Perioperative Nursing Care of the Patient Undergoing a Cochlear Implant Procedure

Peker¹,

Korkmaz²,

Çukurova³

2021

AORN Journal

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A cochlear implant (CI) is used in the auditory rehabilitation of adult and pediatric patients with sensorineural hearing loss who do not benefit from conventional hearing aids. Perioperative nursing care of the patient with sensorineural hearing loss undergoing cochlear implantation is not extensively discussed in the literature. Preoperative care involves managing the patient and family’s expectations for the procedure and determining the most effective communication techniques for each patient. Postoperative care involves monitoring patients closely and identifying the signs and symptoms of a number of possible postoperative complications, as well as knowing how to prevent these complications and respond to them. Thorough patient and family discharge instructions are vital to a successful cochlear implantation result. This article provides perioperative nurses caring for patients receiving a CI with detailed information to help ensure that they provide these patients with the most appropriate and effective care.

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The Risk of Meningitis After Cochlear Implantation: A Systematic Review and Meta‐Analysis

Gowrishankar

Fleet

Tomasoni

et al. 2023

Otolaryngol.--head neck surg.

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Objective. This study aims to estimate the rate of postoperative meningitis (both immediate and long-term) in patients following cochlear implants (CIs). It aims to do so through a systematic review and meta-analysis of published studies tracking complications after CIs. Data Sources. MEDLINE, Embase, and Cochrane Library.Review Methods. This review was performed in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies tracking complications following CIs in patients were included. Exclusion criteria included non-English language studies and case series reporting <10 patients. Bias risk was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was performed through DerSimonian and Laird random-effects models.Results. A total of 116/1931 studies met the inclusion criteria and were included in the meta-analysis. Overall, there were 112 cases of meningitis in 58,940 patients after CIs. Metaanalysis estimated an overall rate of postoperative meningitis of 0.07% (95% confidence interval [CIs], 0.03%-0.1%; I 2 = 55%). Subgroup meta-analysis showed this rate had 95% CIs crossing 0% in implanted patients who received the pneumococcal vaccine, antibiotic prophylaxis, those with postoperative acute otitis media (AOM), and those implanted less than 5 years. Conclusion.Meningitis is a rare complication following CIs. Our estimated rates of meningitis after CIs appear lower than prior estimates based on epidemiological studies in the early 2000s. However, the rate still appears higher than the baseline rate in the general population. The risk was very low in implanted patients who received the pneumococcal vaccine, antibiotic prophylaxis, received unilateral or bilateral implantations, developed AOM, those implanted with a round window or cochleostomy techniques, and those under 5 years.

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Surgical complications of cochlear implantation in a tertiary university hospital

Abstract: Cochlear implantation is a safe surgical technique for rehabilitation of patients with severe to profound hearing loss, associated with a low surgical complications rate. The majority of surgical complications can be managed with conservative measures or minimal intervention.

Cited by 12 publications

References 35 publications

Complications of Cochlear Implant Surgery: A Public Implant Centre Experience

Complications of Cochlear Implant Surgery: A Public Implant Centre Experience

Perioperative Nursing Care of the Patient Undergoing a Cochlear Implant Procedure

The Risk of Meningitis After Cochlear Implantation: A Systematic Review and Meta‐Analysis

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