Dataset Information

Analysis and Management of Complications in a Cohort of 1,065 Minimally Invasive Cochlear Implantations.

ABSTRACT:

Objectives

To analyze complications associated with minimally invasive cochlear implantation by comparing data from different centers, to discuss major reasons for complications, and to refine implantation techniques to decrease them.

Patients

Patients who underwent cochlear implantation at our center by the same surgeon (the corresponding author of this article) from March 2006 to March 2015 were enrolled.

Intervention

First, a retrospective analysis of the complications associated with minimally invasive cochlear implantation at our center was performed. Second, published reports from other centers that describe complications were reviewed. Differences between complications in our cohort and other studies were evaluated.

Main outcome measure

Strategies for reducing complications were assessed and modifications in surgical protocol proposed accordingly.

Results

In total, 1,014 patients underwent 1,065 cochlear implantations. There were 28 complications (7 major, 21 minor) and only 2 reimplantations for the entire cohort, with no case of severe infection, flap necrosis, or device extrusion. The major complications were electrode misplacement, magnet displacement, implant failure secondary to trauma, and temporary cerebrospinal fluid leakage. The rates of major complications in our cohort were very low (0.6%) compared with those in the literature.

Conclusion

Preoperative surgical planning based on individual patient anatomy and employment of soft surgical techniques can minimize surgical complications.

SUBMITTER: Jiang Y

PROVIDER: S-EPMC5305286 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Publications

Analysis and Management of Complications in a Cohort of 1,065 Minimally Invasive Cochlear Implantations.

Jiang Yi Y Gu Ping P Li Beicheng B Gao Xue X Sun Baochun B Song Yueshuai Y Wang Guojian G Yuan Yongyi Y Wang Cuicui C Liu Miao M Han Dongyi D Dai Pu P

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 20170301 3

<h4>Objectives</h4>To analyze complications associated with minimally invasive cochlear implantation by comparing data from different centers, to discuss major reasons for complications, and to refine implantation techniques to decrease them.<h4>Patients</h4>Patients who underwent cochlear implantation at our center by the same surgeon (the corresponding author of this article) from March 2006 to March 2015 were enrolled.<h4>Intervention</h4>First, a retrospective analysis of the complications a ...[more]

PMID: 28192378

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Dataset Information

Analysis and Management of Complications in a Cohort of 1,065 Minimally Invasive Cochlear Implantations.

Objectives

Patients

Intervention

Main outcome measure

Results

Conclusion

Publications

Analysis and Management of Complications in a Cohort of 1,065 Minimally Invasive Cochlear Implantations.

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