Webb R L, Lehnhardt E, Clark G M, Laszig R, Pyman B C, Franz B K
Department of Otolaryngology, University of Melbourne, Royal Victorian Eye and Ear Hospital, Australia.
Ann Otol Rhinol Laryngol. 1991 Feb;100(2):131-6. doi: 10.1177/000348949110000208.
The surgical complications for the first 153 multiple-channel cochlear implant operations carried out at the Medizinische Hochschule in Hannover and the first 100 operations at the University of Melbourne Clinic, The Royal Victorian Eye and Ear Hospital, are presented. In the Hannover experience the major complications were wound breakdown, wound infection, electrode tie erosion through the external auditory canal, electrode slippage, a persistent increase in tinnitus, and facial nerve stimulation. The incidence of wound breakdown requiring removal of the package was 0.6% in Hannover and 1.0% in Melbourne. The complications for the operation at both clinics were at acceptable levels. It was considered that wound breakdown requiring implant removal could be kept to a minimum by making a generous incision and suturing the flap without tension.
本文介绍了在汉诺威医科大学进行的首批153例多通道人工耳蜗植入手术以及在墨尔本大学诊所、皇家维多利亚眼耳医院进行的首批100例手术的外科并发症情况。在汉诺威的经验中，主要并发症包括伤口裂开、伤口感染、电极通过外耳道的系带侵蚀、电极移位、耳鸣持续加重以及面神经刺激。在汉诺威，需要移除植入组件的伤口裂开发生率为0.6%，在墨尔本为1.0%。两家诊所手术的并发症都处于可接受水平。人们认为，通过做一个足够大的切口并在无张力的情况下缝合皮瓣，可以将需要移除植入物的伤口裂开情况降至最低。
