Ovesen T, Johansen L V
Department of Oto-rhino-laryngology, Head and Neck Surgery, Aarhus University Hospital, Denmark.
J Laryngol Otol. 2009 May;123(5):492-6. doi: 10.1017/S0022215108003691. Epub 2008 Oct 10.
To describe problems and complications associated with cochlear implantation, and their management, in a Danish patient population comprising both paediatric and adult patients.
Retrospective chart review.
Tertiary referral centre.
Three hundred and thirteen consecutive cochlear implantations were studied. The median age of the study population was 10 years. Sixty per cent of patients were children and 40 per cent were adult; 52 per cent were female and 48 per cent were male.
Two hundred and ninety-four patients received a Cochlear Nucleus implant. The remaining 19 received an Advanced Bionics implant.
Presence of problems and complications after cochlear implantation.
Post-operative complications were found in 15.7 per cent of patients. The majority of these complications (11.2 per cent) were minor; 4.5 per cent were major. The major complications included one patient with meningitis, one patient with multiple antibiotic resistant Staphylococcus aureus infection of a radical cavity, and one diabetic patient who developed a severe skin infection and whose implant became exposed.
Cochlear implantation is a safe procedure within the studied setting. However, it is essential that careful attention be paid to surgical planning and technique, and it is important that healthcare staff and patients be aware of the possible problems and complications.
描述丹麦儿科和成年患者群体中与人工耳蜗植入相关的问题和并发症及其处理方法。
回顾性病历审查。
三级转诊中心。
对连续313例人工耳蜗植入病例进行研究。研究人群的中位年龄为10岁。60%的患者为儿童，40%为成年人；52%为女性，48%为男性。
294例患者接受了科利耳公司的植入体。其余19例接受了先进生物科技公司的植入体。
人工耳蜗植入后问题和并发症的存在情况。
15.7%的患者出现术后并发症。这些并发症大多（11.2%）为轻微并发症；4.5%为严重并发症。严重并发症包括1例患脑膜炎的患者、1例根治腔发生多重耐药金黄色葡萄球菌感染的患者，以及1例患严重皮肤感染且植入体暴露的糖尿病患者。
在所研究的环境中，人工耳蜗植入是一种安全的手术。然而，必须仔细关注手术规划和技术，医护人员和患者了解可能出现的问题和并发症也很重要。
