Intracranial complications of cochlear implantation
To describe intracranial complications after cochlear implantation in the pediatric and adult populations. Retrospective chart review. Tertiary referral center. A chart review of the intracranial complications and their management in 345 patients undergoing cochlear implantation was undertaken. Vari...
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| Veröffentlicht in: | Otology & neurotology 2007-06, Vol.28 (4), p.459-462 |
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| creator | Dodson, Kelley M Maiberger, Patrick G Sismanis, Aristides |
| description | To describe intracranial complications after cochlear implantation in the pediatric and adult populations.
Retrospective chart review.
Tertiary referral center.
A chart review of the intracranial complications and their management in 345 patients undergoing cochlear implantation was undertaken.
Variables, including age, sex, implant manufacturer, cause of deafness, intraoperative findings, and postoperative complications, were collected and analyzed.
Presence of intracranial complication of cochlear implantation.
There were 134 Nucleus-22 (Cochlear, Englewood, CO) devices, 50 Nucleus-24 devices, 118 Med-El (Durham, NC) devices, and 43 Advanced Bionics Corporation (Sylmar, CA) devices in 151 adults and 194 children. There was a 9.3% overall complication rate, with most (59%) being related to device failure. There were three intracranial complications ( |
| doi_str_mv | 10.1097/mao.0b013e31802fba94 |
| format | Article |
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Retrospective chart review.
Tertiary referral center.
A chart review of the intracranial complications and their management in 345 patients undergoing cochlear implantation was undertaken.
Variables, including age, sex, implant manufacturer, cause of deafness, intraoperative findings, and postoperative complications, were collected and analyzed.
Presence of intracranial complication of cochlear implantation.
There were 134 Nucleus-22 (Cochlear, Englewood, CO) devices, 50 Nucleus-24 devices, 118 Med-El (Durham, NC) devices, and 43 Advanced Bionics Corporation (Sylmar, CA) devices in 151 adults and 194 children. There was a 9.3% overall complication rate, with most (59%) being related to device failure. There were three intracranial complications (<1%), two in elderly individuals and one in a child. Two minor dural defects with cerebrospinal fluid leak at the site of the receiver/stimulator recess in Med-El devices were repaired intraoperatively with temporalis fascia. One elderly patient experienced an acute extensive subdural hematoma after Nucleus-24 implantation, which was treated successfully with immediate evacuation.
Intracranial complication rates associated with cochlear implantation are low, although potentially very serious. Surgeons should be aware of intracranial complications, especially in older individuals, and take immediate appropriate action.</description><identifier>ISSN: 1531-7129</identifier><identifier>DOI: 10.1097/mao.0b013e31802fba94</identifier><identifier>PMID: 17414094</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Cochlear Implantation - adverse effects ; Deafness - etiology ; Deafness - surgery ; Dura Mater - injuries ; Equipment Failure - statistics & numerical data ; Female ; Hematoma, Subdural - etiology ; Hematoma, Subdural - surgery ; Humans ; Infant ; Male ; Mental Disorders - etiology ; Middle Aged ; Osteitis Deformans - complications ; Postoperative Complications - epidemiology ; Postoperative Complications - surgery ; Postoperative Complications - therapy ; Retrospective Studies ; Sex Factors ; Tomography, X-Ray Computed</subject><ispartof>Otology & neurotology, 2007-06, Vol.28 (4), p.459-462</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-1f9776510efc0e0350023f8a630ae8b31ccf6a96bd7a6c4f63dbb9b073d3dfcf3</citedby><cites>FETCH-LOGICAL-c371t-1f9776510efc0e0350023f8a630ae8b31ccf6a96bd7a6c4f63dbb9b073d3dfcf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17414094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dodson, Kelley M</creatorcontrib><creatorcontrib>Maiberger, Patrick G</creatorcontrib><creatorcontrib>Sismanis, Aristides</creatorcontrib><title>Intracranial complications of cochlear implantation</title><title>Otology & neurotology</title><addtitle>Otol Neurotol</addtitle><description>To describe intracranial complications after cochlear implantation in the pediatric and adult populations.
Retrospective chart review.
Tertiary referral center.
A chart review of the intracranial complications and their management in 345 patients undergoing cochlear implantation was undertaken.
Variables, including age, sex, implant manufacturer, cause of deafness, intraoperative findings, and postoperative complications, were collected and analyzed.
Presence of intracranial complication of cochlear implantation.
There were 134 Nucleus-22 (Cochlear, Englewood, CO) devices, 50 Nucleus-24 devices, 118 Med-El (Durham, NC) devices, and 43 Advanced Bionics Corporation (Sylmar, CA) devices in 151 adults and 194 children. There was a 9.3% overall complication rate, with most (59%) being related to device failure. There were three intracranial complications (<1%), two in elderly individuals and one in a child. Two minor dural defects with cerebrospinal fluid leak at the site of the receiver/stimulator recess in Med-El devices were repaired intraoperatively with temporalis fascia. One elderly patient experienced an acute extensive subdural hematoma after Nucleus-24 implantation, which was treated successfully with immediate evacuation.
Intracranial complication rates associated with cochlear implantation are low, although potentially very serious. Surgeons should be aware of intracranial complications, especially in older individuals, and take immediate appropriate action.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cochlear Implantation - adverse effects</subject><subject>Deafness - etiology</subject><subject>Deafness - surgery</subject><subject>Dura Mater - injuries</subject><subject>Equipment Failure - statistics & numerical data</subject><subject>Female</subject><subject>Hematoma, Subdural - etiology</subject><subject>Hematoma, Subdural - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Mental Disorders - etiology</subject><subject>Middle Aged</subject><subject>Osteitis Deformans - complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - surgery</subject><subject>Postoperative Complications - therapy</subject><subject>Retrospective Studies</subject><subject>Sex Factors</subject><subject>Tomography, X-Ray Computed</subject><issn>1531-7129</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LAzEQhnNQbK3-A5GevG2d6WQ3zVGK1kLBi57DJJvgyu6mJtuD_97VFgRPA-8XwyPEDcICQav7juMCLCB5whUsg2Utz8QUS8JC4VJPxGXOHwCoqFQXYoJKogQtp4K2_ZDYJe4bbucudvu2cTw0sc_zGEbBvbee07wZDe6HX-dKnAdus78-3Zl4e3p8XT8Xu5fNdv2wKxwpHAoMWqmqRPDBgQcqAZYUVlwRsF9ZQudCxbqyteLKyVBRba22oKimOrhAM3F33N2n-HnweTBdk51vx0d8PGSjoCwlIo5BeQy6FHNOPph9ajpOXwbB_AAyIyDzH9BYuz3tH2zn67_SiQ59A6WyZgo</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>Dodson, Kelley M</creator><creator>Maiberger, Patrick G</creator><creator>Sismanis, Aristides</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200706</creationdate><title>Intracranial complications of cochlear implantation</title><author>Dodson, Kelley M ; Maiberger, Patrick G ; Sismanis, Aristides</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-1f9776510efc0e0350023f8a630ae8b31ccf6a96bd7a6c4f63dbb9b073d3dfcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cochlear Implantation - adverse effects</topic><topic>Deafness - etiology</topic><topic>Deafness - surgery</topic><topic>Dura Mater - injuries</topic><topic>Equipment Failure - statistics & numerical data</topic><topic>Female</topic><topic>Hematoma, Subdural - etiology</topic><topic>Hematoma, Subdural - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Mental Disorders - etiology</topic><topic>Middle Aged</topic><topic>Osteitis Deformans - complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - surgery</topic><topic>Postoperative Complications - therapy</topic><topic>Retrospective Studies</topic><topic>Sex Factors</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dodson, Kelley M</creatorcontrib><creatorcontrib>Maiberger, Patrick G</creatorcontrib><creatorcontrib>Sismanis, Aristides</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otology & neurotology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dodson, Kelley M</au><au>Maiberger, Patrick G</au><au>Sismanis, Aristides</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intracranial complications of cochlear implantation</atitle><jtitle>Otology & neurotology</jtitle><addtitle>Otol Neurotol</addtitle><date>2007-06</date><risdate>2007</risdate><volume>28</volume><issue>4</issue><spage>459</spage><epage>462</epage><pages>459-462</pages><issn>1531-7129</issn><abstract>To describe intracranial complications after cochlear implantation in the pediatric and adult populations.
Retrospective chart review.
Tertiary referral center.
A chart review of the intracranial complications and their management in 345 patients undergoing cochlear implantation was undertaken.
Variables, including age, sex, implant manufacturer, cause of deafness, intraoperative findings, and postoperative complications, were collected and analyzed.
Presence of intracranial complication of cochlear implantation.
There were 134 Nucleus-22 (Cochlear, Englewood, CO) devices, 50 Nucleus-24 devices, 118 Med-El (Durham, NC) devices, and 43 Advanced Bionics Corporation (Sylmar, CA) devices in 151 adults and 194 children. There was a 9.3% overall complication rate, with most (59%) being related to device failure. There were three intracranial complications (<1%), two in elderly individuals and one in a child. Two minor dural defects with cerebrospinal fluid leak at the site of the receiver/stimulator recess in Med-El devices were repaired intraoperatively with temporalis fascia. One elderly patient experienced an acute extensive subdural hematoma after Nucleus-24 implantation, which was treated successfully with immediate evacuation.
Intracranial complication rates associated with cochlear implantation are low, although potentially very serious. Surgeons should be aware of intracranial complications, especially in older individuals, and take immediate appropriate action.</abstract><cop>United States</cop><pmid>17414094</pmid><doi>10.1097/mao.0b013e31802fba94</doi><tpages>4</tpages></addata></record> |
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| ispartof | Otology & neurotology, 2007-06, Vol.28 (4), p.459-462 |
| issn | 1531-7129 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Child Child, Preschool Cochlear Implantation - adverse effects Deafness - etiology Deafness - surgery Dura Mater - injuries Equipment Failure - statistics & numerical data Female Hematoma, Subdural - etiology Hematoma, Subdural - surgery Humans Infant Male Mental Disorders - etiology Middle Aged Osteitis Deformans - complications Postoperative Complications - epidemiology Postoperative Complications - surgery Postoperative Complications - therapy Retrospective Studies Sex Factors Tomography, X-Ray Computed |
| title | Intracranial complications of cochlear implantation |
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