Medical, surgical and audiological complications of the first 100 adult cochlear implant patients in Birmingham
| Autor: | R. L. Stoddart, I. Donaldson, D. W. Proops |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.medical_treatment Facial Paralysis Deafness Postoperative Hemorrhage Sex Factors Vertigo Cochlear implant otorhinolaryngologic diseases medicine Humans Surgical Wound Infection Meningitis Major complication Aged Aged 80 and over biology Ossification business.industry Age Factors Cerebral Infarction General Medicine Middle Aged medicine.disease biology.organism_classification Cochlear Implantation Surgery Otosclerosis Otorhinolaryngology Female Implant medicine.symptom Complication business |
| Zdroj: | The Journal of Laryngology & Otology. 113:14-17 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s002221510014602x |
| Popis: | Of the first 100 patients implanted on the Midland Cochlear Implant Programme the commonest aetiologies of deafness were idiopathic 31 per cent, meningitis 28 per cent and cochlear otosclerosis 16 per cent.The major complication rate was three per cent. The most severe was one individual who post-operatively developed a cerebral infarct and subsequently died. The minor complication rate was 39 per cent, all of which successfully resolved, and included 11 cases of wound infection, nine cases of vertigo, three transient facial palsies and two post-operative bleeds.Older patients and men were most likely to have a post-operative medical complication. Women were more likely to have an abnormal electrode insertion. Meningitis and otosclerosis were the most complicated aetiologies in terms of cochlear ossification and electrode insertion. A non-patient cochlea was associated with fewer active electrodes. In six cases which had been reported pre-operatively as showing patent cochleas, some form of obstructional ossification was encountered. Patients functioning with greater than 15 active electrodes performed better on auditory tests than patients with fewer than 15 active electrodes. |
| Databáze: | OpenAIRE |
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