JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (5): 25-28.doi: 10.6040/j.issn.1673-3770.0.2015.180

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Complications of cochlear implantation in children and adults

CHEN Shiqin, HU Jinwang   

  1. Department of Otolaryngology & Head and Neck Surgery, Anhui No.2 Provincial People's Hospital, Hefei 230041, Anhui, China
  • Received:2015-05-06 Revised:2015-09-22 Online:2015-10-16 Published:2015-10-16

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Abstract: Objective To compare the characteristics of complications after cochlear implantation in children and adults, and to explore the management of these complications. Methods A total of 170 cases of cochlear implantation were retrospectively analyzed. These patients were divided into children group (n=147) and adult group (n=63) according to their age. The characteristics of complication and management were summarized. Results The success rate of implantation was 100%. Three days after operation, 13 children (8.84%) and 2 adults (8.69%) developed fever, and there was no significant difference in the incidence of fever between children and adults(P>0.05). Among those with normal inner ear, 10 children (10.20%) and 11 adults (52.38%) had postoperative vertigo, and the incidence of vertigo was lower in children than that in adults (P<0.05). Scalp hematoma occurred in 1 adult and healed after extraction. External ear canal skin perforation was observed in 1 child which was cured with surgical repair. The cochlear implant was damaged 18 months after implantation in 1 child and was re-implanted. Conclusion Different complications may occur in different periods after cochlear implantation in various age groups, which need clinicians' close attention.

Key words: Cochlear implants, Vertigo, Fever, Complications

CLC Number: 

  • R764.35
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华耳鼻咽喉头颈外科学分会, 中国残疾人康复协会听力语言康复专业委员会. 人工耳蜗植入工作指南(2013年, 三亚)[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 49(2):89-92. Journal Editorial Committee of Chinese Journal of Otorhinolaryngology, Head and Neck Surgery, Chinese Medical Association of Otorhinolaryngology, Head and Neck Surgery, Committee of Chinese Disabled Rehabilitation Association and professional Committee of hearing language rehabilitation. Cochlear implant work guide (2013, Sanya)[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2013, 49(2):89-92.
[2] Bhatia K, Gibbin K P, Nikolopoulos T P, et al. Surgical complications and their management in a series of 300 consecutive pediatric cochlear implantations[J]. Otol Neurotol, 2004, 25(5):730-739.
[3] 邱建华, 陈阳, 谭沛, 等. 人工耳蜗植入手术并发症及临床分析[J]. 中华耳科学杂志, 2010, 8(3):235-239. QlU Jianhua, CHEN Yang, TAN Pei, et al. Complications of cochlear implantation and clinical analysis[J]. Chin J Otology, 2010, 8(3):235-239.
[4] Loundon N, Blanchard M, Roger G, et al. Medical and surgical complications in pediatric cochlear implantation[J]. Arch Otolaryngol Head Neck Surg, 2010, 136(1):12-15.
[5] 李玉洁, 张道行. 1396例人工耳蜗植入围手术期并发症的讨论[J]. 临床耳鼻咽喉头颈外科学杂志, 2010, 24(10):433-435. LI Yujie, ZHANG Daoxing. Perioperative complications of 1396 patients with cochlear implantation[J]. J Clin Otorhinolaryngology Head Neck Surgery, 2010, 24(10):433-435.
[6] Merdad M, Crawford M, Gordon K, et al. Unexplained fever after bilateral superficial cervical block in children undergoing cochlear implantation: an observational study[J]. Can J Anaesth, 2012, 59(1):28-33.
[7] Krause E, Louza J P, Wechtenbruch J, et al. Incidence and quality of vertigo symptoms after cochlear implantation[J]. J Laryngol Otol, 2009, 123(3):278-282.
[8] Thierry B, Blanchard M, Leboulanger N, et al. Cochlear implantation and vestibular function in children[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(2):101-104.
[9] Roberts D S, Lin H W, Herrmann B S, et al. Differential cochlear implant outcomes in older adults[J]. Laryngoscope, 2013, 123(8):1952-1956.
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