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

Previous Articles     Next Articles

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

PDF (PC)

1017

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.
[1] LYU Dan, LI Ruzhen, LIU Mingqiu, MENG Xinyu, LI Junyi. Incidence and correlation of anxiety, depression, and sleep disorders in patients with different types of benign paroxysmal positional vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 62-67.
[2] LU Zhaoyang, ZHAI Zhaoxue, WANG Huikang, SHAO Liting, ZHANG Yu. COVID-19 treatment-induced diabetic ketoacidosis combined with rhino-orbital cerebral mucormycosis: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 90-94.
[3] LIU Nanxian, YANG Zeyin, HAN Lin, ZHANG Aiying, ZHAO Yuliang, XUE Jing, SUN Yijun, SHAO Yongliang. Significance of video-EEG in the diagnosis of recurrent vertigo in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 20-25.
[4] MA Xin, DONG Lingkang, WU Hongmin, YI Hongliang, ZOU Jianyin. Modifications and applications of lateral expansion abduction suspension suture technique in the treatment of obstructive sleep apnea [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 81-88.
[5] ZHAO Zhen, ZHENG Guiliang, WANG Jun, ZHANG Bingwen. Analysis of the curative efficacy of low-frequency vibration shear stress on patients with unilateral vestibular dysfunction [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(1): 23-28.
[6] MA Li, GAO Zhan, LI Pengqi, NI Qianwei. Current status of anatomical research on nasal orbital ethmoid and concurrent zygomatic bone fracture complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 126-130.
[7] LI Hao, YANG Liyuan, ZHANG Shoukai. Short-term clinical observation of drugsustained-release stent implantation in patients with refractory sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 38-42.
[8] ZHOU Yixing, LI Dan, CHEN Tengyu, ZHOU Min, HUANG Jiaqian, WANG Sen, LUO Shiwei, HE Weiping. Data mining on the pattern of medication in the management of vertigo by famous veteran Chinese medicine practitioners in modern times [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 11-20.
[9] YUE Tao, ZHUANG Dayong, ZHOU Peng, LI Xiaolei, XU Jing, ZHU Jian, HE Qingqing. The complications of tracheal injury in da Vinci robotic thyroidectomy: four case reports and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 46-50.
[10] CHAI Lina, LEI Chunyan, GAO Sheng, ZHANG Meixia. Isolated congenital retinal arteriovenous malformation with vitreous hemorrhage and sub-inner limiting membrane hemorrhage:a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 67-70.
[11] XU Jia, LI Xin, CHEN Wenjing, GAO Juanjuan, LU Xingxing, YI Haijin. Short-term and long-term outcomes of endolymphatic sac decompression with instillation of local steroids for intractable Meniere's disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 17-21.
[12] LI Ying. Importance of standardized methods in corneal refractive surgery and the prevention of complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 1-6.
[13] ZHANG Yaoyao,WANG Haitao. The application of MRI technology with intratympanic gadolinium injection in the diagnosis and treatment of Meniere's disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 101-107.
[14] CIREN Qiongda, WU Yuan. A case of long-term ocular complications caused by toxic epidermal necrolysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 147-150.
[15] ZHAO Yaming, SHI Song. Three cases of diagnosis and treatment of cervical necrotizing fasciitis with a primary diagnosis of acute epiglottitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 12-16.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd